NCG140034_MONITORING INFO_20180531

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑H�ISTORICAL FILE
El ""MONITORING REPORTS
DOC DATE
❑ a� I D O S 3 I
YYYYMMDD

Winston-Salem r Forsyth County
- City/County
utili *1 S
Water r Sewer r Solid Waste Disposal
Hanes Mill Road
'REYE/
Solid Waste Facility
May 29, 2018
���
MAY 3I 2018
cityof'Winston-Salem
325 W. Hanes Mill Road
Division of Water Resources
CENrR,44
Winmon-S;IIcm,NC27105
Attn: DWR Central Files
F
DVVR
SECr1QN
CityUnk 311 (336.727-8000)
1617 Mail Service Center
Fax [phone]
Raleigh, North Carolina 27699-1617
wwutcityo .orK
Re: Year 6, Period 1 Analytical storm water monitoring results for Old Salisbury Road
Landfill (Certificate of Coverage No NCG 120034)
Dear Sirs:
Enclosed, please find the analytical data for continued monitoring for Year 6 Period 1 for the
above referenced storm water general permit.
Samples taken as part of the analytical requirement were taken during a representative storm event
and analyzed by a NC certified lab. Please accept this information on behalf of the City of
Winston-Salem/Forsyth County Utilities Solid Waste Administration. If you need any additional
information, please contact me at [phone].
Sincerely,
Adam VAI Rickett
Senior Project Supervisor
Gty C un.ih .tilay.v All- fumes, Vivian l E. B.,6. May+.r E'm'I'em;wre, Nnnlscur W-d; D sisa 1). "—, N—h'Xax,; Dan Ik>sr, wwrhKvye Want; ILrhen G. CLh. Ww W,,d;
Inhn C. Lasnn, Gnrrh \card; )rK!slaclnunh. Nunhwnr 1Yanl; Piero I. MomVii-ry, Fur V'ard; Jamo'I'aylnr. 1"&.mheave %Srd: City Manager. 1— 1). Garrity
Forsyth CountT CAmminionem David R. I'lylcr, Outinnan; Dnn Alanin, Lim Chair;'Icd Kaplan; Richani V. Linville; Walter aTshall; Clnria D. Whisrnhunr; Ewrrne Wirhnsp urn;
Call 311 or 336-727-8000 Caums Alaaagm Dudley W'ana. Jr.
cl link eit ofGtoconoty Utility Cummiaion: David Nrdl' i�raimrarr, 1iYkU S. 7uede, kl—hair. Wedlq Cunis. )r.: It E. D y;'lhnr C AwH I I—Ld IC IlUn : Duyra lung:
sf yws.or 9 Pau l& McCall; (16, Nrlrrr.Jim Ru1Fn; ikrnald R. Grs—

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG120034
FACILITY NAME Old Salisbury Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES NA
LABORATORY Research & Analytical Lab, Inc.
Lab Cert. # NC # 34 Comments on sample collection or
analysis:Due to no flow outfalls 4,8,11 were not sampled_
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 6 Period 1
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ MonthW imonth
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply [:]SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
❑ No discharge this period?'
outfall No. Date Sample 24-hour rainfall
Collected' amount, Chemical Oxygen Demand Fecal Coliform Total Suspended Solids
(mo/dd/yr) Inches
Benchmarks =_->
-
-
120 mg/L
1000 count per 100 mL
100 mg/L or 5o mpjL'
15.4
1
5/16/2018
.81
32
600
2
5/16/2018
.81
53
>60000
159
3
5/16/2019
.81
52
1500
16.8
4
5/16/2018
.81
5
5/16/2018
.81
30
334
28.6
6
5/16/2018
.81
20
1060
50.4
7
5/16/2018
.81
14
1170
14.4
8
5/16/2018
.81
9
5/16/2018 1
.81
24
10800
c5
10
5/16/2018
.81
5o
2170
8.2
11
5/16/2018
.81
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date. 11/1/2012-10/31/2017 SWU-248, last revised 1012512012
Page 1 of 2

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Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX ma/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?2
Outfall No.
Date Sample
24-hour rainfall
Collected'
amount,
Non -polar O&G/TPH by
Total Suspended Solids
pH
(mo/dd/yr)
Inches3
EPA 1664 (SGT-HEM)
Benchmarks
15 mg/L
100 mg/L or 50 mg/L'
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART Il SECTION B.
0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? "YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR. includina all "No Discharae" reports, within 30 days of receiat of the lab results tar at end of monitoring period
In the case of "No Discharae" resorts) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible f g the information, the information submitted is, to the nest of my knowledge a nd belief, true, accurate, and complete.
am aware that there are is enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Zf
(' a ermittee) (Date)
Permit Date: 11/1/2012-10/31/2017
SWU-248, last revised 10/25/2012
Page 2 of 2

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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted
CERTIFICATE OF COVERAGE NO. NCG120034
FACILITY NAME Old Salisbury Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES NA
LABORATORY Research & Analytical Lab, Inc.
Lab Cert. # NC # 34 Comments on sample collection or
analysis:_
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year6 Period i
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly) /month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
❑Zero -flaw []Water Supply [:]SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?1
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
lnches3
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks
-
-
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L4
2
5/16
.81
53
>60000
159
6
5/16
.81
20
1060
50.4
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX m L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: if you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017
SWU-248, last revised 10/25/2012
Page 1 of 2

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Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ==>
-
-
15 mg/L
100 mg/L or 50 mg/L'
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharae" reports, within 30 dovs of receiat of the lab results !or at end of monitorina period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly a d evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly respons'W-Kr—j ering nfo ation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there gn' ' t penalt or s fitting false information, including the possibility of fine and imprisonment for knowing violations."
gee dMermittee) ( f (Date)
Permit Date:11/1/2012-10/31/2017
SWU-248, last revised 10/25/2012
Page 2 of 2

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Winston-Salem r Forsyth County
City/County
Uti I hies
Water a Sewer r Solid Waste Disposal
Hanes Mill Road
Solid Waste Facility
City of Winston-Salem
325 W. Ltann Mill Road
Winston-Salem, NC 27105
CityLink 311 (336.727.8000)
F1x 336.661.4905
www ai-yofrmarg
RECE[VF
MAR13t
CENTRAL FILE
March 6, 2017
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Year 5, Period 1 Analytical storm water monitoring results for Hanes Mill Road
Sanitary Landfill (Certificate of Coverage No NCG 120034)
Dear Sirs:
Enclosed, please find the analytical data for continued monitoring for Year 5 Period l for the
above referenced storm water general permit dated December 4, 2012 and a previous letter of
revision dated March 18, 2009.
Samples taken as part of the analytical requirement were taken during a representative storm event
and analyzed by a NC certified lab. Please accept this information on behalf of the City of
Winston-Salem/Forsyth County Utilities Solid Waste Administration. If you need any additional
information, please contact me at [phone].
Sincerely,
Edward L. Gibson P.E.
Solid Waste Engineer
cc: Jan McHargue
Greg Dingman
Gty Couadh NJa ar Allen Joined: Vivian H. Iturkr. NLyor P.Temparr, Nar[heasr Wud; Dmiw D. Adanv, Nordr Ward; Dan B n , Swsth.r Ward: Rahrrr C. Cleric, Wed Ward;
Jahn C. laann, Snurh Ward; JcffMu1nmsh. noahs r Ward; Dcrwin L Mmcgnmery, F� Ward; Jame Tndar, Jr., Snurhmi: Wards; Gry Manager. tic D. Garriry
For, rh County C m miunrnc David R. Phkr, Chairman; Don Manin, Vi Chair,Ted Kaplan; Richard v, linville; WWth X1ara6,ll; Gloria D. Whiaenhuni; t%r rre Wnhenp m
Call311 or 336-727-8000 t-a'unryALnagenDudley�Sam.Jr.
n�,.��Ink Cr}��ofwS.or Gay/Coaaurr Utility Caaaminiom David I:e& Chdumau: Randall S. Tuulc, Yre-chalr-,1 cAry Ci ia, Jr.; Hmuid L Dar Turn Griilin; Ilarold R. Halmrs; Inane Lang;
cityli it 9 NO S. &Will: Maria P km Jim RaEfn; DunaL1 R. S,—n

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted Monday, March 06, 2017
CERTIFICATE OF COVERAGE NO. NCG120034
FACILITY NAME Hanes Mill Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES Hanna Kahrmann-Zadak
LABORATORY Research & Analytical Laboratories, Inc.
Lab Cert. # NC #34 Comments on sample collection or
analysis: Outfall'3' had no flow, was not able to collect a sample
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 5 Period 1
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly'__ February.-2017 (mon_tN
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow [—]Water Supply [:]SA
RECEIVED ❑Other
MAR 13 2D E7 PLEASE REMEMBER TO SIGN ON THE REVERSECENT-�
L FILES
DWR�SECTION
❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Chemical Oxygen Demand
Yg
Fecal Coliform
Total Suspended Solids
p
Benchmarks
-
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L°
F
February 15, 2017
0.43
33 mg/L
2400 col per 100mL
53.2 mg/L
3
February 15, 2017
0.43
No Flow
No Flow
No Flow
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
' See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Ter 3 responses. See General Permit text
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (5GT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/L°
6.0 — 9.0 SU
A2
February 15, 2017
0.43
<5 mg/L
97.3mg/L
8.12
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one copv of this DMR, includina all "No Discharae" reports, within 30 days of receipt of_the _lab results or at end of monitorina period
in the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are;fIgnificant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:11/1/2012-10/31/2017
-3/,/ // 7.
(Date)
SWU-248, last revised 10/25/2012
Page 2 of 2

RESEARCh & ANAIYTiCA Report of Analysis
LA ORAT®RiESF INC, 3/2/2017
tsi{u IMot
For: City Winston-Salem
IF
of - N. Main
..`G����;
101 N. Main Street
��,:�'t
Winston-Salem, NC 27101
= Z'
NC#34
Attn: John Spainhour
0. NC #37701
10.
0.
Client Sample ID: Outfall A2
Lab Sample ID:
30992-01
Site: City of Winston-Salem -N Main St
Collection Date:
2/15/2017 9:40
Parameter Method
Result
Units
Rep Limit Analyst Analysis DatelTime
Hydrocarbon 08G EPA 1664 Revision B/Silica
<5
mg/L
5
DN 2/20/2017
Gel
pH SM 4500 H+B-2000
8.12
Std. Units
2/15/2017
Total Suspended Solids (fSS) SM 2540 D-1997
97.3
mg/L
5
JIB 2/15/2017
Client Sample ID: Outfall F
Lab Sample ID:
30992-02
Site: City of Winston-Salem -N Main St
Collection Date:
2/15/2017 9:30
Parameter Method
Result
Units
Rep Limit Analyst Analysis DatelTime
COD EPA 410.4
33
mg/L
5
BR 2/21/2017
Fec Coli-MF SM 9222 D-1997
2400
co11100 ml 1
LP 2/15/2017 1435
Total Suspended Solids (fSS) SM 2540 D-1997
53.2
mg/L
5
JB 2/15/2017
NA = not onalyzed
P.O. Sox 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Pax: 336-996-0326 www_randalabs.com Page 1
rai cca basic v1d

Research & Analytical
Laboratories, Inc.
1 Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
Water
/ Waste►vater
Misc.
PH
Company
City of Winston-Salem
Job No.
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Street Address
101 N. Main St.
Project
lanes Mill Landfill
City, State, Zip
Winston-Salem, NC 27101�K�
S t pler Name (Please Print)
I�c,�(�( —��d 4
Outfall A2
, l
Contact
John S afnhour
Phone
1336-147-6965
Samna a ignalure
G
Sample Number Temp Iles. Cldorine Sample
Date Time Comp .ral -C CI Removed ,�lolri: Sample Location I LII,
(Lob Use Only)
Y or N S or W
Rc uesled Anal sis
1loncs 31i11 Landitlf
Analytical Sampling
02/15/17
r
N
/
W
Vehicle ~Maintenance
2
I
I
TSS, 08G
Outfall' A2'
pZ
02/1.5/17
X
N
1
W
Outfall' F'
3
1
1
1
COD, TSSee Beal Colifornn*
Below
02/15/17
x
N
1
W
Outfall' 3'
3
1
1
1
COD, TSS, Fecal Colfforrn'
Sea Below
1
lcllnquished By
-y Uatcll•ime
tX' S ' i9
Received By
Remarks: Analyze Fecal Colifarm sample up to 60,000 cful100ml.
Analytical Sampling Hanes Landfill- All Grape, The pit will bo collect with 5'Sf meter
j Relinqt1jowd By
Date II=
Rice ived By
on ice
T Sample Temperature at receipt D I -C

r Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted Tuesday December 19, 2016
CERTIFICATE OF COVERAGE NO. NCG 120034
FACILITY NAME Hanes Mill Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES Hanna Kahrmann-Zadak
LABORATORY Research & Analytical Laboratories, Irfc.
Lab Cert. # NC #34
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 4 eeriQd 2
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' month
� z? VISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout❑PNA
ED []Zero -flow []Water Supply []SA
DEC 2 8 2016 -,.❑other
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE
DWR SECTION
❑ No discharge this period ?2
Outfall No.:::., `
•:..::..:. ' .:..:: , . ;• ,. ;
°:'Date 5aniple"°,".:.
:...
Collectedl. '.
.. (mo/dd/Yr) .:
•` 24-hour rainfall
:amount, .• ....
Inches; ..:.:•
;' Ci &hlcal Ox en f?emand
Yg
:. • Fecal Collfvrm
Tot Suspended Solids
P
Benchmarks ==_>
_. :: ,
:: - .. .. .:.
120 mg/L.:: _ ::'. .
" 1000'count per 100 mL
100 mg/L or 50 mg/0.
F
11/29/2016
0.58 in
38mg/L
>12,000 col per 100mL
69.5 mg/L
3
12/29/2016
0.58 in
No Flow mg/L
No Flow col per 100mL
No Flow mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.'
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 11/l/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

❑ No discharge this period?'
Outfall No.:
Date 5ample.';.
i_::....
Collected
(mo/dd/yr) .
24-h6ur rainfall
:.
amount, ::::.'
.. IncKW .. :
Non -polar O&G/TPH by
. -EPA 1664 (SGT-HEM)!.
Total 5uspendecf Solids:"
:. Benchmarks'===>
.
• 10o mg/L or 50 mg/o .
6.0 — 9.0 SU
A2
11/29/2016
0.58 in
<5 mg/L
481 mg/L
7.88
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING ESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ lee, Merc_4 / S lzol? /{ ffeK
REGIONAL OFFICE CONTACT NAME: 111
Mail an original and one coon of this DMR. includina all "No Distharae" reports. within 30 days of receipt of the lab results (or at end of monitorina period
in the case of "No Distharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that the ignifcant penalties for submitting false information, including the possibility of fines and t prisonment for knowing violations."
I z—/
(Signature of Permittee) (Dat
Permit Date:11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 2 of 2

RESEARCh & ANA[yTiCAL
LAbORATaRiESf INC.
RECEIVED
DEC 2 8 2016
For: City of Winston-Salem - N. Main CENTRAL FILES
101 N. Main Street DWR SECTION
Winston-Salem, NC 27101
Attn: John Spainhour
i
Report of Analysis.
12/6/2016
ptiN��ryr�
"tc:ao NC#34 Z?� C
' NC #37701 4
4
LCO
�/i DrAP�'
Client Sample ID: Outfall A2 Lab Sample ID: 27690-01
Site: City of Winston-Salem -N Main St Collection Date: 11/2912016 12:57
Parameter Method Result Emits Rep Lim[ An2tyst Analysis DatelTime
Hydrocarbon.0&G EPA 1664 Revision B1Silice <5 mg/L 5 DN 11/30/2016
Gel
Total Suspended Solids (fSS) SM 2540 D-1997 481 mg/L -5 JB 11/3012016
Client Sample ID: Outfall F Lab Sample ID: 27696-02
Site: City of Winston-Salem -N Main $t Collection Date: 11/29/2016 13:16
Parametertkathod ResUnits a Lim' Analyst Analysis Datefrirne
- _ — — -- -- _ _
GOD EPA 410.4 38 mg/L 5 SR 1211/2016
Fec Coli-MF SM B222 D-1997
'Total Suspended Solids (i-SS) SM 2540 D-1997
>12000 cot1100 ml 1
69.5 mg1L 5
DEC g 2016
� Sh�CICj �L�`lT1W aEBs
City o�
LP 11/29/2016 1654
is 11/3012016
NA = not analyzed
�._...----------------
P.O. Box 473 106 Short Street Keinersville. North Carolina 27284 Tel: [phone] Faz: 336-996-0326 urww:randalabs.com Page i
ral ra,=. basic vie
n

Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phone [phone]
CHMN OF CUSTODYRECORD
Water
Wastmater
Mlsc.
PH
Company
City orWinsion-Salem
Job No.
46
_
<
p'
,�,
o"
P
o
z
✓
Street Address
101 N. Main St.
Project
Banes Mill Landfill
City, State, Zip
LYinston-Salem, NC 27101
Sampler Nome (Please Print)
re►natne..-
Qtltfall A2
Contact
Jahn spit nhour
Phone
33G-747-6965
Sam I r Sign ture
Sample ltiumher '1'rmp }tcs. Chlarine Sample
Date Time Comp Cral a Removed Matrix Sample Localfon 11,D
(Lub flee Only) G Cl.
Y or N S or
Re< uestcd An sis
Hanes Mill Landfill
Anal oral Sampling
t)
11/29/16
X
N
7
W
Vehicle Mafntcnaace
2
1
I I
TSS, O&G
Outfall 'Al '
11129/16
1_
}(
N
/
W
Cutfoll' F'
3
1
1
1
alitortn"
COD, T gee Below
11/29/16
X
N
/
W
Outfall'3
3
1
1
1
GGC• TBS, Fecal Coliform"
See Below
t 'nquished By
Date/Time
Received By
H rks. Analyze petal ColUarm sample up to 60,000 efunUmL
alytleal Sampling flitro acs LAndlill-All Crate, The pff wUJ be IIect w'llh YSI meter
Rtlin4uisheTby
batfirtme
Rcctivu lay
Venice
Sample Temperature ai rceetpi k °C

Rr-CEIVED ' el� e REtEIVED
SE P 0 6 Z1116 UP SAP p
CENTRAL FILES ymNTRAL F{ > S
DWR SECTION WR SECTIOI"
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted September 1, 2016
CERTIFICATE OF COVERAGE NO. NCG120034.
FACILITY NAME Old Salisbua Road Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES NA�
LABORATORY —Research & Analytical Laboratories, Inc._
Lab Cert. # NC#34
Comments on sample collection or analysis: There were no days that
sampling could occur due to the timing of the rain events in August
2016,
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 4 Period 2
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' August 2016 (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow []water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
® No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks ===>
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L'
2
NA
No flow
NA
NA
NA
6
NA
No flow
NA
NA
NA
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
a The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX",
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharae this period?z
Outfall No.
Date Sample
Collected'
fmo/dd/yrJ
24-hour rainfall
amount,
Inches'
Non -polar D&G/TPH by
EPA 1664j5GT-HEMJ
Total Suspended Solids
pH
Benchmarks ===>
_
15 mg/L
100 mg/L or 50 mg/L•
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one coov of this DMR, including all No Discharge" reports, within 30 dovs of receipt of the lob results for at end of monitorina Period
in the case of "No Discharge" reports] to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly res o gatherin he information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware tha re si n' penaIt' or submitting false information, including the possibility of fines and imprisonment for knowing violations."
/ V
o mitt {Dater
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/2S/2012
Page 2 of 2

Winston-Salem t Forsyth County
Ciiynty
UtilitlCouw
Water r Sewer t Solid Waste Disposal
Hanes Mill Road
Solid Waste Facility
City OMIMH an ,tialem
325 W Hants Mi11 Road
V instutt-Salem, NC 27105
Citvlank 311 (330.727.8000)
Fax 33,.661.4905
umnveirw.fim.01
February 23, 2016
Division of Water Resources
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RECEIVED
FE6 2 9 2016
CENTRAL FILES
DWR SECTION
Re- Year 4, Period 1 Analytical Storm water My Results for Old Salisbury Road
Landfill (Certificate of Coverage No N 120034}
Dear Sirs:
Enclosed, please find the analytical data for continued monitoring for Year 4 Period 1 for the
above referenced storm water general permit.
Samples taken as part of the analytical requirement were taken during a representative storm event
and analyzed by a NC certified lab. Please accept this information on behalf of the City of
Winston-Salem/Forsyth County Utilities Solid Waste Administration, if you need any additional
information, please contact me at [phone].
Project Supervisor
CC' Jan McHargue
mamemb City Council: Msyor Allen Jniner: 1 Mi H. Burke, Msynr 3hn'rennpore, N—he— WV & D-iw E7. Ad—, N..h W-J; D.. !Besse. South—t Ward; Rol— C Mrk, WJ %Crud;
Malty Leight. Snurh W-d; Wanda 1{erschcl, Nnnhw Ward: lk— L lvi,m rnen. E— Wd; James Taykrr. Jr.. Snurheur W.,d: Cin- MaruF,cr-. La D. Canity
Forsyth County Commi+tiooees: Richa d uV. Linvillr, Chairman; tlrhra Grnrad, Vim Chair, Wduv Marshall; David R. l9t1. Gloria D. Whi—hung Bill Whircl e m Eve lre
Call311 or336-727-8000lm°mCnrnry.tarag— 1).dla ,Jr.
eitylinkpcityaMs.ar CirylCa ty thing Commietioru David Mil. Chairnan; James F_ L—v. Vkc l ,6n. n;'liy ko"U,y dean'; Hamld R. Hrrinars; Chndl 1), J'_Al. El; Jan to EAlik: Paul S. ma'iB:
,M H. Scymuun Sicphcn M. Sbcltom J- Hill Smckton; Randall S.'1'uttic

t•
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted February 1, 2016
CERTIFICATE OF COVERAGE NO. NCG120034
FACILITY NAME Old Salisbury Road Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES NA
LABORATORY —Research & Analytical Laboratories, Inc._
Lab Cert. p NC #34 Comments on sample collection or
analysis: There were no days that sampling could occur due to the
timing of the rain events in January 2016.
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 4 Period 1
SAMPLE PERIOD ❑ Jan -tune ❑ July -Dec
or ® Monthly) January (month)
{ lv T G TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
REC; ❑Zero -flaw ❑Water Supply [:]SA
Za15 ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
cFM-TRAL FILES
DWR SECTION
No discharge this perrod?z
Outfall No.
Date Sample
Collected'
jmo/dd/y/yrj
24-hour rainfall
amount,
Inches'
Chemical oxygen Demand
xYg
Fecal Coliform
Total Suspended Solids
P
Benchmarks ==>
120 mg/L
1000 count per 100 mL
200 mg/L or 50 mg/L`
4
January 2016
No flow
NA
NA
NA
5
January 2016
No flow
NA
NA
NA
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
'For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not reportBelow Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX me/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal cokform results exceed the dilution upper limit, report the result as ">XX".
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text,
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period:l
outfall No.
Date Sample
Collected`
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmorks ===>
15 mg/L
100 mg/L or So mg/L1
6.0— 9.0 SU
Footnotes from Part A also apply to this part B
Note: ff you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER I REQUIREMENTS. SEE PERMIT PART II SECTIONS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results (or at end of monitoring period
In the case of "No Discharge" reaorts) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and levaluate the innff lation submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly r le for gatherin atorma 'rrthe information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that ear naltie su rngfalse information, including the possibility of fines and imprisonment for knowing violations."
2 3 1a1
41"nature of Permdtee} (Date)
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 1o/25/2012
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted Tuesday February 23, 2016
CERTIFICATE OF COVERAGE NO. NCG120034
FACILITY NAME Hanes Mill Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES Jamal Clark
LABORATORY Research & Analytical Laboratories, Inc.
Lab Cert. # NC #34
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 4 Period i
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly) (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
[]Other
PLEASE REMEMBER TO SIGN ON THE REVERSE
No discharge this period?z
Outfall No.
Date Sample
Collected)
(mo/dd/yrj
24-hour rainfall
amount,
lnches3
Chemical Oxygen Demand
Yg
Fecal Coliform
Total Suspended Solids
p
Benchmarks ===>
-
-
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L°
F
02/03/2015
2.61 In
52 mg/L
2250 col per 100ml.
132 mg/L
3
02/03/2016
2.61 in
155 mg/L
6800 col per 100m1
1470 mg/L
I~'
1M
N
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc, in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

_ F
l
t. ,
y �
l `
.. a ..
r.
Y' p {'fir i 3, �1
.. i i } � �y
Pr s a � C.S �^ ...r

❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
-
-
15 mg/L
100 mg/L or 50 mg/L°
6.0 — 9.0 SU
A2
02/03/2016
1.61 in
c5 mg/L
260 mg/L
8.15
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION S.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of__receipt_of the lab results Lor at end of monitoring aeriod
in the case of "No Discharge" reports' to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the'best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
G
(Signature of Permittee) ( ate)
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 2 of 2

Winton -Salem r Forsyth County
CityCounty
t11
Ilt[e5
Water r Sewer r Solid Waste Disposal
Hanes Mill Road
Solid Waste Facility
February 23, 2016
Division of Water Resources
Attn: DWR Central Files
RECEIVED
MAR 0 2 2010
CENTRAL FILES
DWR ACTION
CirynfWinstnn-$stem 1617 Mail Service Center
325 W Hanes Mill Road Raleigh, North Carolina 27699-1617
Winston-Salem, NC_ 27105
Cirylink 311 (336.727.8000)
Fax [phone]%5 Re: Year 4, Period 1 Analytical storm water monitoring results for Hanes Mill Road
t,rtttt,;a��.o>g
Sanitary Landfill (Certificate of Coverage No NCG 120034)
Dear Sirs:
Enclosed, please find the analytical data for continued monitoring for Year 4 Period 1 for the
above referenced storm water general permit dated December 4, 2012 and a previous letter of
revision dated March 18, 2009.
Samples taken as part of the analytical requirement were taken during a representative storm event
and analyzed by a NC certified lab. Please accept this information on behalf of the City of
Winston-Salem/Forsyth County Utilities Solid Waste Administration. If you need anyiadditional
information, please contact me at [phone].
Sincerely,
Edward L. Gibson P.E.
Solid Waste Engineer
cc: Jan McHargue
Greg Dingman
CaryCouncil: €•lawn Allc r )nines; \ rvitn H. Rurke. ALyor Pm Temrwrr. N—hr W-4; lknim D. hd.. Nonh Wald; Darr }lesse, Snuchw,nt Ward; Rot. C- Clark Wnr Ward;
imm MolhLcight. South VX'ani; JeIF �Lclmush. Northwest VYSrd; Derwin 1. ,Ltanrgnmen; Flu uud: )amn7iyfor, )r., Suuthaat \l*ud; �ry Managrr: €,rc f). Csenn
Fa"h Counry Commisain— Ridurd V. Linville, Cluin—s Gloria 1), Whkenhunt, Vice Chair; Mask 8akrr. V%Win Mw4ulk D7 id R. 17,vkr, Pill Whitchan; r% ntr
Call 311 or 336-727-8000 W''h—p—; C 'nty Mang—. D ilry Watm J,
CI IInk Cl o1V1rs,or atylcaunty Urility Commi.i— €)avid € 6A, Chairman; )ama t Lowe. 4i i:hai,—,; liryvko-Inv R-ty; Harold F €)ay: I4amld R. Holmn; Chad. D. )rs A, 11; )An-n Lalik:
ty g ISLE S. McCik: Al IL Srymrrur. J. Hill Stocknm: R-6115.'lisnk

,RESEARCh & ANA[yTICA1
LA O RATO Ri E5, INC.
For: City of Winston-Salem - N. Main
101 N. Main Street
Winston-Salem, NC 27101
Attn: John Spainhour
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Report of Analysis
2/12/2016
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NC#3a yjN»
NC #37701
IED MAW
Client Sample ID: Outfall A2 Lab Sample ID: 14611-01
Site: City of Winston-Salem -N Main St Collection Date: 2/3/2016 13:00
Parameter Met od Result Units Rep Limi Anatyst Analysis Date/Time
Hydrocarbon 0&G EPA 1664 Revision BISilica <5 mg/L 5 DN 2/4/2016
Gel
Total Suspended Solids (TSS) SM 2540 D-1997 260 • mg/L 5 Y,f 2/5/2016
Client Sample ID: Oulfall F Lab Sample ID: 14611-02
Site: City of Winston-Salem -N Main St Collection Date: 2/3/2016 13:35
Parma Method Result Units Rep Limit Analys Analysis Date/Time
COD EPA 410.4 52 mg/L 5 KN 2/6/2016
Fec Coli-MF SM 9222 D-1997 2250 col/100 ml 1 SK 2/3/2016 1542
Total Suspended Solids (TSS) SM 2540 D-1997 132 mg1L 5 YJ 2/6/2016
Client Sample ID: Outfall 3 Lab Sample ID: 14611-03
Site: City of Winston-Salem -N Maim St Collection Date: 2/312016 14:15
Parameter Method Result Units Rep Limit An_ alyst Analysis Dat !Time
COD EPA 410.4 155 mg/L 5 KN 2/5/2016
Fec Coii-MF SM 9222 D-1997 6800 co11100 mi 1 SK 2/3/2016 1554
Total Suspended Solids (TSS) SM 2540 D-1997 1470 mg/L 5 YJ 2/5/2016
NA = not onalyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted Tuesday, December 1 2015
CERTIFICATE OF COVERAGE NO. NCG120034
FACILITY NAME Hanes Mill Landfill
COUNTY Forsyjh
PERSON COLLECTING SAMPLES Jamal Clark
LABORATORY Research & Analylical Laboratories Inc.
Lab Cert. # NC #34 Comments on sample collection or
analysis:
Part A: Stormwater Benchmarks and Monitoring Results
S (P COLLECTION YEAR Year 3 Period 2
0G PERIOD [] Jan -June ® July -Dec
77 or ❑ Monthly' _(month)
D� �DIS�CHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
CFNTR L FILES ❑Zero -flow ❑Water Supply ❑SA
DW'R SFCTION ❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE `)o
❑ No discharge this period?2
Outfali No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches)
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks ===>
-
-
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/14
F
November 9, 2015
0.51
192 mg/L
>60000 col per 100ml.
644 mg/L
3
November 9, 2015
0.51
43 mg/L
3000 col per 100ml.
66 mg/L
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX miz/L where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: if you report a sample value in excess of the benchmark, you must implement filer 1, Tier 1, or Tier 3 responses. See General permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
_
-
15 mg/L
100 mg/L or 50 mg/O
6.0 — 9.0 SU
A2
November 9, 2015
0.51
<5 mg/L
2370 mg/L
9.12
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you mast implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Ii SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copv of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina period
in the case of "No Discharae" reoortsl to:
Division of Water Quality
Attn: DWQ Central Fifes
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete
am aware that there are igni 'cant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permitte) (Dat )
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 2 of 2

Wimmn-Salem t Forsyth County
(Adt'i'l'iot
ntyuies
Water t Sewers, Solid Waste Disposal
December 11, 2015
DEC. l 8 'cu 4'j
CENTRAL FILES
DWR SECTION
Hanes Mill Road
Solid waste Facility
Division of Water Quality
Attn: DWQ Central Files
City or Winston-Salem
1617 Mail Service Center
Hants Mill
Raleigh, North Carolina 27699-1617
g
Winston-Salem,
Winston-Salem, MC..7105
on 2710
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GmLink 311 (336.727.8000)
Fax [phone]
Re: Year 3, Period 2 Analytical storm water monitoring results for Hanes Mill Road
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Sanitary Landfill (Certificate of Coverage No NCG 120034)
Dear Sirs:
Enclosed, please find the analytical data for continued monitoring for Year 3 Period 2 for the
above referenced storm water general permit dated December 4, 2012 and a previous letter of
revision dated March 18, 2009.
Samples taken as part of the analytical requirement were taken during a representative storm event
and analyzed by a NC certified lab. Please accept this information on behalf of the City of
Winston-Salem/Forsyth County Utilities Solid Waste Administration. If you need any additional
information, please contact me at [phone].
Sincerely,
Edward L. Gibson P.E.
Solid Waste Engineer
cc: Jan McHargue
Greg Dingman
City - (dirndl, \lay r Alkn juinea 1^nian H. Bnrke. Mayor Pta7 -pore, N-hcanVaM; lx--6e D. Adamt. Noah Ward; I?an Besse, Southwcnt Ward; Rsdwtt C. tusk. West ward;
- Mohr LcOt. Sottth W ni; l<F7htaclw< h. Nonhwwst Wl rd; Drrw.in L Muntpirtur, Fast \lord: Jamn TM4m Jr., %mushnst VtW; Gry INatra@cr. Ise 1). Gsniry
r`a*+ Cotmty GP--4 daaevas Richard V. Linville. Qximsan; Gloria [l. Whiscnh—t, Mice Chair. Mark iykcr: Water Nim halL David R. Miler. Rill V%itehnn; F.,—ne
Cali 311 or 336-727-8000 Wahcnpmm (.' ryManaprr; Ndlcy Ram, Jr.
[e-mail] (ity7Coumy th;Nry Cnmmiaaian: David N61, Chairman; )amct F 1 Vtom Chairman; Tay kn - Brats I Iudd F. D r, Hamld R. H.1n ; Mado D. J—P, 14 )a bilk;
pas S. Meth; A! H. sry ' J. Hill Saxlixon; Randall S. T tde

RESEARCh & ANA1yT1CA1
O�0 LAWRATORIES, INC.
oc�o
For: City of Winston-Salem - N. Main
101 N. Main Street
Winston-Salem, NC 27101
Attn: John Spainhour
Report of Analysis
11 /18/2015
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Client Sample ID: Hanes Mill Landfill Outfall A2 Lab Sample ID: 11363-01
Site: City of Winston-Salem -N Main St Collection Date: 11/9/2015 10.00
Parameter Method Result Units Rep Limit Analyst Analysis Datgaime
Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 RH 11/12/2015
Gel
Total Suspended Solids (iSS) SM 2540 D-1997 2370 mg1L 5 JB 11/11/2015
Client Sample ID: Hanes Mill Landfill Outfall F Lab Sample ID: 11363-02
Site: City of Winston-Salem -N Main St Collection Date: 11/9/2015 11:00
ParameterMethod' Result.. , : Units. Rea Limit Analyst Analysis Date/Time
i_
COD EPA 410.4 192 mg/L 5 KN 11/10/2015
Fec Cali-MF SM 9222 D-1997 >60000 col/100 ml i SK 11/9/2015 1557
Total Suspended Solids (iSS) SM 2540 D-1997 644 mg/L 5 JB 11/11/2015
Client Sample ID: Hanes Mill Landfill Outfall 3 Lab Sample ID: 11363-03
Site: City of Winston-Salem -N Main St Collection Date: 11/9/2015 10:23
Parameter Method Result Units Rep Limit Analyst Analysis Daterrime
COD EPA 410.4 43- mg/L 5 KN 11/10/2015
Fec Coli-MF SM 9222 D-1997 3000 col/100 ml 1 SK 11/9/2015 1600
Total Suspended Solids (TSS) SM 2540 D-1997 66 mg/L 5 JB 11/11/2015
NA = not analyzed
P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.corn Page 1
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Sampler Name (Please Print)
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Contact Phone
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See Below
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Analytical Sampling Hanes Landfill- All Grabs, The phi will be collect witb YSI meter
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Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted Thursday. April 09, 2015
CERTIFICATE OF COVERAGE No. NCG120034
FACILITY NAME Hanes Mill Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES Jamal Clark
LABORATORY_ Research & Analytical Laboratories, Inc._
Lab Cert. # NC #34 Comments on sample collection or
analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 3 Period 1
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?z
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks
-
-
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L°
'3'
March 27,2015
.38
128
31
492
' F'
March 27,2015
.38
59
>12000
145
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
' See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not_ Port Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017 5WU-248, last revised 10/25/2012
Page 1 of 2

Part 0: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/O
6.0 — 9.0 SU
' AV
March 27,2015
.38
7.86
980
8.12
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART AAND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one coov of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitorina Period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 11/1/2012-10/31/2017
(D te)
SWU-248, last revised 10/25/2012
Page 2 of 2

Winston, -Salem a Forsyth County
Citynty
Ut1lIt/CouieS
Water - Sewer - Solid Waste Disposal
Hanes Mill Road
Solid Waste Facility
City of IX Inston-Salem
325 11 _ Hancs Mill Road
Wnston-Salem. NC 27105
CityLink 311 (336.727.8000)
Fax 336,661,4905
n'U'weinrofu7.org
April 10, 2015
RECEIVED
APR 13 2015
CENTRAL FILES
Division of Water Quality DWR SECTION
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Year 3, Period 1 Analytical storm water monitoring results for Hanes Mill Road
Sanitary Landfill (Certificate of Coverage No NCG 1120034)'
Dear Sirs:
Enclosed, please find the analytical data for continued monitoring for Year 3 Period 1 for the
above referenced storm water general permit dated December 4, 2012 and a previous letter of
revision dated March 18, 2009.
Samples taken as part of the analytical requirement were taken during a representative storm event
and analyzed by a NC certified lab. Please accept this information on behalf of the City of
Winston-Salem/Forsyth County Utilities Solid Waste Administration. If you need any additional
information, please contact me at [phone].
Sincerely,
Edward L. Gibson A.E.
Solid Waste Engineer
cc: Jan McHargue
Greg Dingman
- - - � ,�.;,�:..; �:. Citr Counrih \ia)tar rVke Joiner: 1 nian F{. Burke. Aiamr FRn Trmpote, �lunhact VGSd: Ueniae I )..L6mr, tiorsh � d: lhs. Beck. Sourhxem 1±Std:lLthen G Clark, Vi'rsr IXSni;
AEnOy Leirjtt. South V['inE: Jell\lx[nmtlt. loreh..eYt Si'srd: l?rrwin !. tilontg.mcr.: Eau hard: Jamaliytor, Jr,, tiouth4u VC,n1; Gry hlanagrr. (le F). Garrity
Fnrmh Carroty Commissiaeem Ridwd %' Unr ille. Cho—: Gloria G. Whbcnhunt. %ic Chair, Mark Bakes: n'alrcr Niar.hall; Da id R, Ph4m Bill Whiw an; Ev xr
Call 311 or 336-727-8000 `*TrhfnlX. : C -unry )lianarr. Mulke,- Wins, Jr.
Ci}��link CIt D1WS.f]r riry/C:aunry lh:litr C--;-6-- Davit! Neil, Cluirnun; )amr. f_ 1.—. \ 1-Chair—; l'o,,.6 -1by' li-tr I I. -Id F- hay: Hi ld R. Holmes: Chinn D. J-11, I!: Janeen ]alik;
• l g P-I S. }.1 41; Al 14, Sc —,; J. Hill Si-kt—; Randali S.Tuule

rRESEARCh & ANA[Y1rICAt Report of Analysis
i 0 LAbORATORiESF INC. 4/8/2015
�, 0
For: City of Winston-Salem - N. Main.•`G
iq
101 N. Main Street
Winston-Salem, NC 27101
M 4"a
y NC tt34 Z -
Attn: John Spainhour
NC�37701
:: `
*;OVED pNP� 0. "
Client Sample ID: Hanes Mill Landfill Outfall A2
Lab Sample ID: 2377-01
Site: City of Winston-Salem -N Main St
Collection Date: 3/27/2015 9:15
Parameter Method
Result Units Rep Limit Analyst .Analysis.DatefTime -
Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica
7.86 mg/L 5 SK 4/2/2015
Gel
Total Suspended Solids (TSS) SM 2540 D-1997
980 mg/L 5 YJ 3/30/2015
Client Sample ID: Hanes Mill Landfill Outfall F Lab Sample ID: 2377-02
Site: City of Winston-Salem -N Main St Collection Date: 3/27/2015 9:40
Parameter Method Result units Rep•Limit Analyst Analysis Date[Time
COD EPA 410.4 59 mg/L 5 .fB 3/31/2015
Total Suspended Solids (TSS) SM 2540 D-1997 145 mg/L 5 YJ 3/30/2015
Fec Coli-MF SM 9222 D-1997 >12000 co11100 ml 1 KH 3/27/2015 1530
Client Sample ID: Hanes Mill Landfill Outfall 3 Lab Sample ID: 2377-03
Site: City of Winston-Salem -N Main St Collection Date: 3/27/2015 10:10
Parametef Method Result Unfits g2 Limit Analyst Analysis. DatefTime
COD EPA 410.4 128 mg/L 5 JB 3/31/2015
Total Suspended Solids (TSS) SM 2540 D-1997 492 mg/L 5 YJ 3/30/2015
Fec Coli-MF SM 9222 D-1997 31 col/100 ml 1 KH 3/27/2015 1533
NA = not onotyzed
P.O. Box 473 106 Short 5freet Kernersv llle North Carolina 27284 336-996-2841 Fax [phone] - www.randelabs.com Page 1
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Research & Analytical
r Laboratories, Inc. CHAIN OF CUSTODY RECORD
r Analytical I Process Consultations
Phone [phone]
Water
/ Maste►vater
Misc.
PH
Company
City of Winston-Salem
Job No.
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Street Address
101 N. Main St.
Project
Banes Mill Landfill
City; State, 'lip
Winston-Salem, NC 27101
Sampler Name (Please Print)
Outfall A2
Contact
John S airthour
Phone
336-747-6965
Sampler Signature
SampieNumber
(Lab Use Only)
Date
Time
Comp
Grn
Temp
°
C
Res,
Cl.
Chlorine
Removed
Y or N
Sample
Matrix
S or 1
Sample Location / I.D.
Requested Analysis
Ilanes,�lilk [,audfill
Analytical Sampling;
X
N
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W
Vehicle Maintenance
I
I
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TSS, O&G
Oulfall' A2'
x
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VI'
Outfull IT
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1
1
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COD, TSS, Fecal Collform
01,
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outfall' 3'
3
1
1
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COS), TSS, Fecal Collform
Relinquished iv
DMlefl'ime
lived
Remarks: Analytical Sampling Itanes Lnndtill- All Grabs, The pil will be collect with YS1 meter
Rclir qulshed By
Datcll'ime
cived By
on ice
Sample Temperature at receipt °C

Winstr,n-Salem • Forsyth County
0 City/County
Utilities RECEIVED
Water - Sewer r Solid Waste Disposal
NOV 17 2014
November 13, 2014 CENTRAL
Hanes Mill Road DWR EFILES
S
Solid Waste Facility Division of Water Quality SECTION
Attn: DWQ Central Files
City of V'inston-Salem 1617 Mail Service Center
325W-SAcnil\1C271Road Raleigh, North Carolina 27699-1617
Winston-Salem, NC 27105
CiryLink 3 L 1 (336.727.8000)
Fax [phone] Re: Year 2, Period 2 Analytical storm water monitoring results for Hanes Mill Road
n•u•nc�rlyrfint.prX
Sanitary Landfill (Certificate of Coverage No NCG 120034)
Dear Sirs:
Enclosed, please find the analytical data for continued monitoring for Year 2 Period 2 for the
above referenced storm water general permit dated December 4, 2012 and a previous letter of
revision dated March 18, 2009.
Samples taken as part of the analytical requirement were taken during a representative storm event
and analyzed by a NC certified lab. Please accept this information on behalf of the City of
Winston-Salem/Forsyth County Utilities Solid Waste Administration. if you need any additional
information, please contact me at [phone].
Sincerely,
Edward L. Gibson P.E.
Solid Waste Engineer
cc: Jan McHargue
Greg Dingman
Adam Rickett
City Council;.Mama-Allen Joiner: nian tl. Hurkc Nl,-T rro Temparr, N.,d a,r Ward: ikniw D. Adarra,, ,North u"yrd; Dan Ikrse, SourhKr+r %Pant: FU�hcrt C. C2,4- Wm %land;
;<tnlly txight. Sown IXank Jcfi,%lxtnimh, \onhw Wad: Derwin !. Nnnxgomm: Ea,r %Yard: Jame 'Eay1rK, Jr., bunc�ast %Yard; City \lanagcr; I.ra D. Garrity
�- r ? • ' Fartyth Connry Commiarion — Riciard V Lbwille, Chairman; (Maria D. Whiu-nhunt. 1 i- Clair, .%lark Halar ll'alrcr llanhill: Dnid R. Plyl . Pill Whiff Kean; lv mic
Call 311 or 336-727-8000 Wkhenrkk m Coanry Jranagn: Dudhr Waits. Jr.
[e-mail] Can-lCoaary Lhilin-C—iuion: David Neil, Chaiman; James F_ luwc, VK Chvrman: Tmoko "Tay' Harold E Ur}: Harold R, Hdma; Chxkc D, Jcwdl, It; Janrrn l.lik;
taut S. ,W.i[h Al H. Scym .. J. 1 fill Swckroa; Ran&D S. Tune

Semi-annual Stormwater Discharge Monitoring -Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted Thursday, November 13, 2Q14
CERTIFICATE OF COVERAGE NO. NCG120034
FACILITY NAME Hanes Mill Landfill
COUNTY Forsyth
PERSON COLLECTING SAMPLES Hanna Kahrmann-Zadak
LABORATORY Research & AnaMical Laboratories, Inc_
Lab Cert. # NC #34 Comments on sample collection or
analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Year 2 Period 2
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' - _(month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ®Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
❑ No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Oxygen
Chemical en Demand
Fecal Coliform
Total Suspended Solids
p
Benchmarks =__>
-
-
120 mg/L
1000 count per 100 mL
200 mg/L or 50 mg/O
' 3'
10/15/2014
.80
56 mg/L
>12,000 col/100ml.
45.2 mg/L
' F
10/15/2014
-So
50 mg/L
7,900 col/100mL
18,0 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
° See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they muskbe reported in the format, „`<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

' *Fart B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 2664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks ===>
-
-
15 mg/L
100 mg/L or 50 mg/O
6.0 — 9.0 SU
' A2 '
10/15/2014
.80
<5.0 mg/L
19.4 mg/L
6.94
Footnotes from Dart A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
o A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART Ii SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
o TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one cop of this DMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharae" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU —MUST SIGN IS CERTIFICATION F R ANY INFORMATION REPORTED,
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there a�ignlficant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:11/1/2012-10/31/2017
// // 3 //V
(D e)
SWU-248, last revised 10/25/2012
Page 2 of 2

Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
Water
/ Wastewater
Misc.
PH
Company
Citz of Winston-Salem
Job No.
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Street Address
101 N. Main St.
Project
City, State, Zip
Winston-Salem, NC 27101
Sampler Name (Please Print)
llinm H�� ��/WtR"�h -�
Outiafl A2
Contact
Jahn Sainhour
Phone
747-6965
Sampler Signature
Outfall F
a
Sample Number Temp Res. Chlorine Sample
Fate Time Comp Cra Removed Illatrii Sample Location! I.D.
{1,abUseQnly} °C Cl.
V or N S or %N
Re aested Anal sis
Manes Mill l.andFill
Analytical Sam lin
P
10/15/14
1:0b
.X'
!
W
Vehicle Maintenance
2
1
1
TSS, O&G
Outfall' A2'
2
10/15/14
q419
x
N
I
W
Outfult' F'
3
1
1
1
COD, TSS, Fecal Coliform
10/15/14
X
N
/
W
Outfall' 3'
3
1
1
1
COD, TSS, Fecal Coliform
Relinquished By
Dateffime
l 0/l5/2014
eceived 8 '
Remarks: Analytical Sampling hones landfill- All Crabs, The pff will be collect with YSI meter
Relinquished By
Rateflime
Rrceive By
Illf on ice Sample Temperature nt recelpi °C

RESEARCh & ANA[YTICA[
LkORATO&S, INC.
Analytical/Process Consultations
City of Winston-Salem
101 N. Main Street
Winston-Salem, NC 27101
Attn: John Spainhour
Date Sample Collected
Date Sample Received
Date Sample Analyzed
Date of Report
Analyses Performed by
Lab Sample Number
--------------------
797213
Parameter Storet ## Results /
COD -HIGH (00340) 56 mg/1 ✓/
TSS (00530) 45.2 mg/l
Fec Coli-MF (31616) >12,000 col/100 ml
Clients Sample Source
Number
Time Collected (Hrs)
GOUTF ALL 3
0921
10/15/14
10/15/14
10/15/14
11/05/14
JB -SM
P.O. Box 473 • 105 Short Street • Kernersville. North Carolina 27284.336-996-2841 • Fax [phone]
www.randatabs.com

RESEARch & ANA[yT1CA[
LABORATORIES, INC.
AnafyticaWrocess Consultations
City of Winston-Salem
101 N. Main Street
Winston-Salem, NC 27101
Attn: John Spainhour
Date Sample Collected
Date Sample Received
Date Sample Analyzed
Date of Report
Analyses Performed by
Lab Sample Number
--------------------
797212
Parameter Storet 4 Results
COD -HIGH (00340) 50 mg/1
TSS (00530.) 18.0 mg/l
Fec Coli-MF (31616) 7,900 col/100 ml
---------------- ---
Clients Sample Source (0;UTF:FALL F
Number
Time Collected (Hrs) 0942
10/15/14
10/15/14
10/15/14
11/05/14
JB -SM
R0, Box 473 • 106 Short Street • Kernersville, North Carolina 27284 •336-996-2841 • Fax [phone]
www.randalabs.com

E3RESEARch & ANALyTiCA[
LABORATORIES, INC.
Analytical/Process Consultations
City of Winston-Salem
101 N. Main Street
Winston-Salem, NC 27101
Attn: John Spainhour
Date Sample Collected
Date Sample Received
Date Sample Analyzed
Date of Report
Analyses Performed by
Lab Sample Number
--------------------
797211
Parameter Storet # Results
TSS (00530) 19.4 mg/l /
Oil & Grease (00556) c5.0 mg/l J
Clients Sample Source (OUTFALL:A2
Number
Time Collected (Hrs) 0908
10/15/14
10/15/14
10/15/14
11/05/14
JB -JP
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-998-2841 - Fax [phone]
www.randalabs.cornm

Winston-Salem -'Forsyth County
City/County
utll[,!eS
Water r Sewer ' Solid Waste Disposal
February 28, 2014
Hanes Mill Road
Solid Waste Facility Division of Water Quality
-- - -- Attn: DWQ Central Files
C.ityol'Winoton-Salem 1617 Mail Service Center
325\4:liaursA9ill Road 771A5 Raleigh, North Carolina 27699-1617
\\'insr,+mtialnn, NC
GrAink 312 036.72i.S0001
1=a, 356.661A905 Re: Year 2, Period 1 Analytical storm water monitoring results for Hanes Mill Road
rr,rrru.r;ryofict, org
Sanitary Landfill (Certificate of Coverage No NCG 120034)
Dear Sirs:
Enclosed, please find the analytical data for continued monitoring for Year 2 Period 1 for the
above referenced storm water general permit dated December 4, 2012 and a previous letter of
revision dated March 18, 2009,
Samples taken as part of the analytical requirement were taken during a representative storm event
and analyzed by a NC certified lab. Please accept this information on behalf of the City of
Winston-Salem/Forsyth County Utilities Solid Waste Administration. if you need any additional
information, please contact me at [phone].
Sincerely,
Edward L. Gibson P.E.
Solid Waste Engineer
cc: Jan McHargue
Greg Dingman
RECEIVED
MAR 4 6 2014
CEDWQlBOGES
Q,i qna x Ciry G,un.€I: ]L.nr Ail— h,t— %1"- K Rurkc. llar,:, €hn'iFsnF ,2, \.miosr W-On lhnir. 11 1 € . S<c,h W 1: €)an 14—. 4 hre.r Ferri. Rnixrr € :. C.€mk, iC4u WC is
&' Vlnlly I.0rhr. k.wh Ward: 1, ffkildn - ;, N„frh,. ,, AA'ani; 1 4r.1n 1, AiL"n(gomnY, EAR W—IL, Ir_ 1_ I r, Jc, S—d...... \F".rd: 0". Atauag.e 1 rs I1 r ;arnrr
4! F-ph C-My V. I,in611" Ghairm;m; Gloria 1). V€rhi>rnhum, Vr:. (:hair, \lar➢. BAvr; Walt r ,\€aroUh 1).0 iJ R. Yh lrr, Rill \\1h4ch-I; iS .--
Call 311 or 336-727-8000 7Cirhrnirwn: C.-y S nay r. Ndln 1C'ans. Jr.
Clt llnk O Clt OfWS.flrnn Cii,ic. oey Oi€ie C mm4s.fon: I) id N,il, C1,A-un; lame, E. 1.-r. Virc[ hairn:mnThy»k> "`1.,' K- 3 f.mdd E. Ih+; I I -id R. 1 in#-: 1'h,do I). J. ill. II: lanrru 1-:hk;
y y tl IL-1 S. hi. GiiL Al k I. Sctnwur. J. I1i11 S-kmn; R:mrhi€ S.'11udr

Semi-annual Stormwater_ Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted ►rli rcA S, AW4
CERTIFICATE OF COVERAGE NO. NCG12 a. O 4 o2z-
FACILITY NAME XiZ*40 li
COUNTY C((
PERSON COLLECTING SAMPLES --rfT=neG.0 r
LABORATORY $6t yyilfe Q,,26fic_ -( Lab Cert. # q_*0
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 9014
SAMPLE PERIOD 04an-June ❑ July -Dec
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow [—]water Supply ❑SA
®C►ther„ ass C.
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
[INo discharge this period?'
Outfall No.
Date Sample
1
Collected
(mo/dd/yr)
24-hour rainfall
amount,
inches
-Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks
120 mg/L
1000 count per 100 mL
100 mg%L or50 mg/L
+ ♦a_;Z-0I.—I
v L.—V
BAR 0 7 2014
/+r.-
��►
•r1lRf'1 _
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a.checkmark here.
3The total precipitation must be recorded using data from anon -site rain gauge. Unattended sites may be eligible for a -waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results -are below the applicable limits, they must be reported in the format, "<XXmg/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging ? 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks
15 mg/L
100 mg/L or 50 mg/L°
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART 8 MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HASYOURFACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, includinq all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina Period
in the case o "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR'ANY INFORMATION REPORTED:.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date:11/1/2012-10/31/2017
lkk.,—� r7, to 114
(Date)
SWU-248, last revised 10/25/2012
Page 2 of 2

-4. i
1�
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No, NCG120000
Date submitted _$1-0-cA. 5, -Rot 4
CERTIFICATE OF COVERAGE NO. NCG12 O O oZ
FACILITY NAME X►Zf42f/ f
COUNTY '17_ Clf
PERSON COLLECTING SAMPLES+
LA130RATORY54.t*cd;/(e i?n-44 i,- -1 _ Lab Cert. #! Y_L
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR o O 1 `t
SAMPLE PERIOD Man -June ❑ July -Dec
or ❑ Monthly' _ _ (month)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow []watersupply []SA
®Other Class C.
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?2
Outfali No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks =__>
_
-
120 mg/L
1000 count per 100 mL
100 mg/L or 50 mg/L
SDa-S'
a-ar-/4-
,5r
a5
543
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'.ter...._ . 3The total precipitation must be recorded using data from an on -site rain gauge. Unattendedsites may be eligible for a waiver.of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be re orted in the format "<XX m L" where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017
SWU-248, last revised 10/25/2012
Page 1 of 2

•t-
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No dischorge this period?'
Outfall No.
Date Sample
Collected'
(ma/dd/yr)
24-hour rainfall
amount,
Inches3
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L
6.0 — 9.0 SU
5Do-?
�-a/—rcf
,5 r
G (,3
�6•g
�•5`J
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2,. or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NOFJ
REGIONAL OFFICE CONTACT NAME:
Mail an or_i_ginal and one copy of this AMR including all No Discharqe" reports, within 30 days of receipt of the lab results (or at end of monitorina period
in the case of "No Discharqe" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 11/1/2012-10/31/2017
(Date)
SWU-248, last revised 10/25/2012
Page 2 of 2

Semi-annual Stormwater Discharge MonitorijnA Report
�- for North Carolina Division of Water Quality General Permit No. NCG120000
Date submitted Thursday, February, 27, 2014
CERTIFICATE OF COVERAGE NO. NCG120034
FACILITY NAME Hanes Mill Landfill
COUNTY _ Forsyth
PERSON COLLECTING SAMPLES Jamai Clark
LABORATORY Research &.Anal ical Laboratories Inc.
Lab Cert. fi NC ##34 Comments on sample collection or
analysis:
Part A, Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR Ye r 2 Period 1
SAMPLE PERIOD ® Jan -June ❑ July -Dec
or ❑ Monthly' _ _ (month]
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE —)
F1 No discharge this period?z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
Z4-hour rainfall
arnount,
Inches
Chemical Oxygen Demand
Fecal Coliform
Total Suspended Solids
Benchmarks =-W>
-
-
120 mg/L
1000 count Per 100 mL
100 mg/L or S0.mg/L4
' 3 '
02/03/2014
.33
92.0 mg/L
104 col/100mL
32.0 mg/L
' F'
02/03/2014
.33
117 mg/L
1020 col/100ml-
704 mg/L
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For exam le do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be re�orted in the format, "<XX me/L where xX is the numerical value of the
detection limit, reporting limit, etc. in mg/L. Conversely, where fecal coliform results exceed the dilution upper limit, report the result as ">XX".
Note. if you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Permit Date: 11/1/2012-10/31/2017 SWU-248, last revised 10/25/2012
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Non -polar O&G/TPH by
EPA 1664 (SGT-HEMj
Total Suspended Solids
pH
Benchmarks ==_>
_
15 mg/L
100 mg/L or 50 mg/l.
6.0 — 9.0 SU
A2'
02/03/2014
.33
<5.0 mg/L
166 mg/L
6.3
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A_AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an orioinal and one copy of this DMR, including all "'No Discharge" reports within 30 days of receipt of the late results (or at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that there aT significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
Permit Date: 11/1/2012-10/31/2017
Z-Izwf
( ate)
SWU-248, last revised 10/25/2012
Page 2 of 2

RESEARCh & ANA[yTiCA1
LABORATORIES, INC.
- Analytical/Process Consultations
City of Winston-Salem
101 N. Main Street
Winston-Salem, NC 27101
Attn: John Spainhour
Date Sample Collected
Date Sample Received
Date Sample Analyzed
Date of Report
Analyses Performed by
Lab Sample Number
--------------------
777874
Parameter Storet ft Results
COD -HIGH (00340) 117 mg/l
TSS (00530) 704 mg/l
Fec Col: -My (31616) 1,020 col/100 ml
----------------
Clients Sample Source OUTFALL F
Number
Time Collected (Hrs) 1120
02/03/14
02/03/14
02/03/14
02/17/14
CW -YJ -ZP
r' J. Box 473 • 1 OB Shor4 Street • Kernersville. Nnrth Carolina 27284 • 338.996-284 1 • Fax [phone]
www.randafabs.com

RESEARCh & ANA[yTICA1
LAbORATORlES, INC.
Analyzical/Process Consultations
cn S
M NC #34 x'
� •1
'PIED ANP`�,
City of Winston-Salem
Date
Sample Collected
02/03/14
101 N. Main Street
Date
Sample Received
02/03/14
Winston-Salem, NC 27101
Date
Sample Analyzed
02/03/14
Attn: John Spainhour
Date
of Report
02/17/14
Analyses Performed by
CW -YJ -ZP
Lab Sample Number
777875
Parameter Storet #i Results
COD -HIGH
(00340)
92.0
mg/1
TSS
(00530)
32.0
mg/l
Fec Coli-MF
(31616)
104
C01/100 ml
--------------------
Clients Sample Source OUTFALL 3
Number
Time Collected (Hrs) 1045
p0. `4ax 473 • 106 Short Street • Kernersville. North Carolina 27284 •336-896-2841 • Fax [phone]
"ww.randalabs.corn

ry.
RESEARCh & ANA[yTICA[
4, LAbORATORIES INC.
Analytical/Process Consultations
City of Winston-Salem
101 N. Main Street
Winston-Salem, NC 27101
Attn: John Spainhour
Date Sample Collected
Date Sample Received
Date Sample Analyzed
Date of Report
Analyses Performed by
Lab Sample Number
---------------------
777873
Parameter Stoeet # Results
TSS (00530) 166 mg/1
Oil & Grease (00556) <5.0 mg/l
--------------------
Clients Sample Source OUTFALL A2
Number
Time Collected (Hrs) 1015
,yr'AS11611 i 828.0It
�.• �Fi �rTj y.
- NC Z
. -
r
02/03/14
02/03/14
02/03/14
02/17/14
YJ -SK
P.0. lox 473 • 103 Snort Street • Kerners+Mle. North Carolina 27294 • 335-996-2841 • Fax [phone]
v wti:>.randa'alas.com

Research. & Analytical
Laboratories, Inc. CHAIN OF CUSTOD Y RECORD
Analytical / Piocess Consultations
Phone f3361 996-2R41
Water/
Wastewater.
misc.
PH
Company
G!x of Winston-Salem
Job No.
2014-01 Januay 1, 2014- June 0, 2014
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Street Address -
101 N. Main SL
Project
flanesMillLandfillpermity r period
City, State, Zip
Winston-Salem, NC 27101 JLadontaClaik
Sampler Name {Please Pri
Qutfall A2
8$
Contact lPhone
John S ainhour. 336-747-6965 "
JSmpler Signature-
Ladanta Clark
Sample Number 'Temp Rea. I Chlorlue . Sample
(i Ah USeQnty) bateTinic Comp rral °C Cl. RCmOYCd Matrix SQInp1C'1 QCahOn / I.D.
Y or S or
Re nested Anal sia
Hanes MJII Landoll
Anal tical Sampling.
02/03/14 "
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Vehicle Maintenance"
2
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TSS, 08G
Outfall' A2'
02/03/14
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Outfall ' F '
3
1
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COD, TSS; Fecal Coliform
02/03/14
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Outfall' 3'
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COD, TSS, Fecal Coliform
ReI is y
Daterfime
2l nOM (j
Received li
Remarks Anatyticsl Sampling Aaries LandrtB- All Grubs, The pia will be collect with YSI meter
Relmquishe Ry
DaterMe .
Received
on Ice
Sample Temperature at receipt r
°C

Winston-Salem • Forsyth County
C' � CountyUtilities
W.Water • Sewer • Solid Waste Disposal
Hanes Mils Road LandfW • 325 W. Hanes Mill Road • Winston-Salem, NC 27105 • Tel [phone] • Fax [phone]
February 25, 2009
RECEIVED
KC, Dept, of ENR
Central Files MAR Q Z 2009
Division of Water Quality Winston-Salem
1617 Mail Service Center Regional Office
Raleigh, North Carolina 27699-1617
Subject: Analytical Storm water Monitoring Results for Hanes Mill Road
Sanitary Landfill (Certificate of Coverage No NCG 120034)
To whom it may concern:
Enclosed, please find the analytical data for:
1. "Year 2, Period 1" sampling event;
2. Monthly monitoring required for Tier 2 response on parameters that exceeded cutoff
concentrations from the Year I - Period 2 analytical monitoring results. This is for outfall
A2.
The storm water general permit covers the Hanes Mill Road Landfill operated by the City of
Winston-Salem/Forsyth County Utility Commission. Certificate of Coverage became active
November 1, 2007.
All samples taken as part of the analytical requirement were taken during a representative storm
event and analyzed by a NC certified lab. It is important to note that some outfalls did not produce
enough runoff to obtain sufficient sample aliquot to analyze. The City of Winston-Salem
Stormwater staff where on site for several hours in this rain event to allow significant coverage of
this event. The City of Winston-Salem/Forsyth County Utilities Solid Waste Administration is
moving forward with Tier 2 responses.
If you need any additional information, please contact me at [phone].
Sincerely,
Edward L. Gibson P. E.
cc: Rose Pnlit
c argue
Keith Huff

STORMWATER,D]SCHARGE OUTFALL (SUO)
[Moo 11,01� (*;:� REI 10 . RT
GENERAI.- PERMIT NO. .NCCI20000. SAM.'J"U',s COLLECTf-A) DURING CALENDAR YE,1,R: —
tovr, 401-ing re-epori is dueat the Division Eta later than 30 days from the,dule
CERTIFICATE OF RACE.NO..NCG]2 (This:ninn
file facility receives
.[ie 'samplin0.re
sults
!fmii.the a borabry.)
i-c COUNTY k,-
TI�Oi'Pfi�s6��dLLECNG:SAMPIXS PTIONE NO. A,) I,?-,q4-1 CE 11FIED LABORATORY
PLEASE SIGN ON THE REVERSI"
part A: Specjfic.Mollitbring Rquimmelils
01'01( V M
-IT-OZ' 11
U530
'Jill
F11 I,-
+
C z
Rt�4
�fc!%TM M1 Q
Note- 1jl-you-i"cp6it dsarripkd:valtw-in 'excess ofthe- belichmark value, YOU Elitist jlfiplerlleni, Tier I or Tier 2 responses. See General Permit text.
Does this-ff, cility pefform Vehicle N-laintetiance Activities using more titan 55 gallons of jmw motor oil . per malith?
yes no
(if yes, coinplet6 PaftD)
fart 13: Vehiele.:Mnhitena nee Activitv MordlnrinL, Re(juirem ents
lit
'.
MM'M
r�,2ffi. WF
6 if 5.6wlj; M
tIIIIY( Lill
W 3M Q
L (3 'iM8,,1iilF1
lau.,�uSpum e( 0
RODLLH
iofo-
LO -112A
Mt600il sn'g'�qj
11:1 11 In
Z,,l 7 Q I .,o
Not6`lf y6trrqjibit d saffij)kd V'Mue'in- excessofdw . benchmark value, or 6u (Sid(:L the be:i0imark nwip for pB, you must implement Tier I urTier 2 responses:
See Qeniral Peruiit text:
STOiUN'l EVENT C41ARAtTERIL 1'1(;-s:
Date list:610.i.*Iditjonal 6venfsompled this reoortiug period, and i•:iihfnll Rinkkilit)
rotral Event Pr6cipJtittj..6n,(in6es):
Mail Or' &hl ' 'And:0,ric.coi.,py to:
Attn-.DWQ!qentrnl Yihe
N&JFN R/ MVQ 1
1617 Mail Servicctcntcr
Raleigh,NC 27699-1617
S WU -2.4 8 -102 10-.!
Pa a(, 1 of'2

W,
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORINC'.REPORT
I certify, under°peaalty of law; tliat this document and all attachnientsz-were prepared' finder my -direct ion or
s_6pe1w.ision iii accor'dancc with.a syslern designed to'assnre tll:�t'yt alified-personnel.properly'gather and.,,evaluate the
infor6iiitton stib iitted. Based',64 'niy incltti'ry of the person. or persons Nvho manage the system,
or those persons
(directly r.espunsililc foi; gathering the' ill forib:ffloiz; the infortttaiioit sO)rhittedis, to the best of-iiiy knowledge andjhelief,
true, accurate, and complete. lam aware that there are,sigidfieant p.bialties for submitti`nglalse inforriiation, including,
the possibility of fines and iniprisonment for knowingyiolations."
(Signature of 'ermittee)` (Il,alc)
SWU-241$-E02107
Na. ge 2 o; 2

S"I'61R1'fWATER DISC IIARGF Q[1 FALI, (SDO)
iONIT0.RING IIEPORT
(.ENEIW, PrRMIT NO. NCG120000 SAMPLES COLUCTED DURING CALENDAR YE;1R: Zo.4
GF RTII?[C.\TE Or-COVER:�.GL Ni). 4CG12 �r•'; y- (his monitoring report is due at -the Division no laier than 30 days'frorn the dale
FACILITY NAME the facility receives,the sampling-resulls'fron) the lahoratory.)
CO UNTY
1'!✓RSON;COI.I.i1 C;rINC: SAlY11'I r S PHONE NO.
UR IFIEDLABORATORY � f,-.ls_ v� i� `�� Lab#
Lab #,,.. .. ..., _ PLEASE SIGN ON T1I1" 111=`VERSE: -)i
Part A:.Speeifie iV[o_Jnitorfng Requirements
" rttf� l �
ea..�
:�i-sltiTO ;;�
.h �dd t -.,»a k���
"Y-i,!/"„ x.[
naM� � , s
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(: ,�,,,)+
Fs-.:.'�:,�7=�'r<�1haK.efr.,r%�"{,^e-; "`S7}'':>
r r .ffi
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""•.:.w r � - 3 `' u _}
Gllellilt_ 11 i')X.nCll I•)Eri3:lnEll g^
r.pE�., • $d. ,�—. ':ef r,.�_ �`,?a4aii a�7!fx' ,�,rv�
a-'- '. ;3:FtC.11"C'nhf�.lE.nl't` +. 1;
t� t2. �� _,n
'rif �r,-!1;..�-,r.i., '�„':'r .'a4d.�., 'S,
;:'�;.t_: % 11.1 �, 1(MiliI$',:3 `.a �m-: tt. �E
` " Tot ii-�1u..' )CIlC1CdlSll11t15'`T17i -"
a Y,
��,; 3P. -{:€: �,.,�,'b 1 �`'-i:�f.;.`� •'��i m yf.... P
:.:.Ell ���f:1
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mi000"Co161iie
0ihT � E<r s
.,.
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^1- '- c'�(1
r�
Note: If you report a sampled value in excess of the benchmark valve, you must implement Tier 1 ar Tier 2 responses. See General Permit text,
Does this facility perform Vehicle Maintenance Activities using more than 55 gnl lon,; of new motor nil per month? _ yes __no
(if yes, complete Part B)
Pah- H:.Vehicic Maintenarice Activitv:Nlonitorinp; Requirements.
{. �•^i3'� , �§� `;IuP v
�':,+���
i..{�.,i. �Y� i1, _ R �7
.:irl�plcrCllllltuI ��>M!i
.�-� 5
��"Y:R' .;,:. 4
.':..{ :i
I nclg), rc.lse
2 h i
�,air�eni��1L��#F.
;"' :
°F``. �. °..Ej
,y •r.:. 'aa� , `--H�
i(�tailSusr?en([cti olidsc
R a - i u:.1� j, sa"
��-.��:'StiinlllCilntlulitiirq
z Pwx �' f 1
',IAU..` tkSOI �'. ��1"!,, .-, j�
ryRN Mt'� :�j ti^'
� pfl,._
-r a `+:,,..:; a -
i ,� 1C.yti;'�'P: t1i t1 i?.4 €.�
i,J�l � - 'i
N(�ti-itlotoYC?IItUtiiocit
' tA"-,� a .•,...:� �,,.,...
.1vr.r►{�eirtnnttui�4„ti,nip:��
+a; rr
k 5?` 7xy i,�.yrt �A..1
Note: I f you report;a.sarnplcd value in excess of tite benchmark value, or outside the benchmark range forpH, you m6§ iihplenli nr rier l cif Tier 2 responses.
See General Peralit text.
STORR-I EVENT CHARACTERISTICS:
Date rw;°;7�i.� (first event salnlyledj II
Total £vent Precipitation (inches):.
Date (list ench ndditiolull even('sampled. this reporting peH6d, and rainfall amount)
'1'01'al"Event Precipitation (inches):
1 i.l Original and one copy to:
'Attu DWQ Central Files
NCUI:ti' it1 1711'Cl
1617 Mail:Service Gentcr
Raleigh, 'IMC' 27699=1617
S WU-2.18-102107
Pahe I' ol'2

I
STORM WATLR.DISCHARCE OUTFA L (snO)
eMONITORINC REPORT
"Icertify, under pennIfy of.la►v, that this.document and all attachments were prepared under my direction or -
supervision in accordance With a system designed to assure that qualified personnel pr6oerly (n ther and 6!alu.1te the
iinforni ation:submitted'. lased on my ificlid y of the person or persons who mana;eAh"e system, or those'persons
�Tatherin the information the information-submitted,is to the lest of rtt krimfleil a and relief,
directly responsible, for �, g y �
.true, aceura.te, and-coinplete: I ani aware that there are significant penalties for sAmilting false: information, including
,the possibility of fines and imprisonnient-for knowing violations."
6 5
{signature of F'errnrtfee} {na c)
SW I 1-2A8-10210?
Paee 2 of

STORMIVATER DISC1-lARCE OUTFALL (SDO)
MONITORING REPORT
GENE11W, PLLAZMI`I' NO. NCGI20000 SAMPLES. COLLECTED DTJRII�G CALENDAR YEAR:
CERTIFIGATE-OF COVCRAGR NO. 1NCG12 �JC ' (This rnonitoring'rej ort.:is due at the Div'isiorl no later than 30 days from the date
the`facility receives the sampling results from.the laboratory.)
FACILITY NAME l�Nt-Y
} rlPCRSOV C)LCTINGSAM'LE5 _;1 Pli'orl~�
. c. t3J (_.
CERTii{IEI) LABORATORY E—Lali #I 4� ..
—La # PLEASE SIGN ON THE REVERSE -a
Wart A: Specific Mottito)•i'ii i2egilircmerits
trtl lllL�
�'l 1 -,�'' 3S +Y �
.a. , :i4U,�t:, -, �
���y�i�t(.9- iM �•
�.—,'K ��"!�:
S lInITIG Coll�(:teilt'
4i-fed 34 r3 061li�/.NLa•eu-.TL`'
hx. •� +-M.r.•s? Y Y
:c,�lieniical�C�a'<.«eii'¢Ilcnl[lntl� t
- A+ sp:P v1-`,•
fi'` �i" � T'ec ,t{C'olifurril'.itt,,, ,a,
-tI atiiil�lis Tclideck�S`il:(fs + t
E�v,..1 . Yt 1S9katP�'S`:��`El�`!i@`tln
(a'd 111: r#•,.: ^:G"�iE
v��ti.b.:'a�,`3(�'° .zY'lil n/1J"n`tR'
1.'3i'Yi.']_i f)'j!)e( '1114;!P rtl
)}�+;r
.at°A'9 fJ:dilrl Jilititi.'.5!'.�Fd 9 i
:Benehlna°',`
�y
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�"aY�t`Ofll? GtrinlllCS.9; Y
r•:l
i\� if
�� FL-nv
1
/
-
•
D .!." 4X'PAY
Note, Ifyou report a sampled value in excess of the benchmark value, you must irnplenzew Tier I or `fier 2 responses- See"General I'cniiit real.
Does'this Facility: perfonn Vehicle Maintenance Activiiies using more than 55 gallons of new motor oil per month? _yes _no
(if yes, coinplete Part B)
;Part It: Vehicle Mninteiianee,:Activity, Monitoring Re 'uirements
e i. •a',.�..'. I r'�M
r srl r+ !
-i! 1: +
3. �,;;''.xanw-aaj; f , 6
rs E � =s Ax
�; , �
(�?ill':i'ric[
�y`.
•vr .?Rrs �v; .. R@
d#t¢
ti� `r^ w' t �'.r'
. � aa;; o
Et0"3LC E I it
1 of it .tintipend�d't.5tal'> ,
d,ga,As
i°�Xk,�lll! �I"''f'zhiyLy�t
'kY a'... �3� 4 1
a�.rla`
1d, il(Ih'
a?! ,� f
2:,'+' �dP-w,
Intl:ii d.11Ttl�ri°
t*s
r n ..�: 1
� t > `�+:; "'�* tK
ht�vi�iafiiltE� ) !L see `1
.7✓1.�1 3 " v� ulr'ikrf.R.b.,.
r�-x a�r,t 3
9i P ' a "s
T4 mvi.F, r �
Note: If;,ou report a satnpled:value'in excess of the benchmark value,,& outside the be6cluiiark raii'ge for pH, you m6st implameni Tier I or'Tier 2 responses.
See General Pernut-iexf-
STORM EVENT Cr-irlkACTERJSTICS:
Date, Z! ?�1 {fiist;evcntaomhledj !
Total rEvefit_i'reOoitntion
Date (list eseti additional event s.imliled this reporting period, and raint'all amomit)
Tolal,Event Precipitation (inches):
Mail.Original and,one,copy to:
Attn: D,WQ Centrai Files
NCDGNR/ DWQ
k 61.7 Mail Service Center
Raleigh, SIC 27699-1`617
S1v%g1-249-102107
Pave 1 of 2

STORNINVA'T ER DISCHARGE OUTFALI, (SDO)
mowrORING"Ri PORT
"I'certify; under pcnajty of lawn, t1iafthis document and -all attachnicrits-1yere prepared -under my'direction or
su el.%,ision.,in,nccordance with a System desi ncd to assure that - qualified 'ei-sonuel i-o �erty gather and evatuate'the
f� S _ g d P P l �,
.
information submitted. 'Based mmy ingiury ot-.th'c person.or persons=wvho.ii3an:ige,the;systcui, or,those`Persons
directly, reslioiisilile for:gathcring.,thc inforrtiatioii, the information submittr..tl is, to the west of.rny ltinowvleclge :tnd belief,
ti•fre, accui`ate; anti complete: 1 ain aware that there are significantpenalties for si}l�[r�ittirig-false;inforntatiotw, iticlriding
the possibility gf iirles::wncl.imprisnument forAnowing violations."
($ign'aturc (hate)
SWU-2,18-102107
Page 2 of 2

STORM WATEk'DISCHARIG E ouTFALL (SDO)
MONIT611ING. RFPowr
GENERALTERMIT NO; NC6120000 S 0.1 P 1. E S CO 1, L ' ECTED1)UIZING.CAL.r,,N[),ARYE't%.R. 7-6'j
CERTIFICA"I'Lr 01"COVFRAGV NO. NCG12 (This ntonitoriag-rFport:is-due Al the Division w).later thnfi.30,chiysJronl the date
the. facility receives the S.Mllplifig- resulO from the laboratory.)
FACILl' I'Y N.A.ME..... A,-,)i., 1 COUNTY nt'v'J
.PERSON COLLECTING S.'VVIPLI Pl-lONENO. (-37i;(,' if-7-RAIS,
c-Er IFD ABORATORY1,g' S
Lib ti PLEASUSIGN ON TIFE UrVERSE 4
Part.A:.'S.Pecifie MonitoringRequirements
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No't6: If you report i samplcd value in excess of the benchmark value, you must impl 6nien[Ticr I or "Fier 2 responses. See'General Pettiit wxt,
Does : ibis, facility &H.prin Whicle Maintenance Activities using more than 55 gallons of new motor oil per month? __ yes _no
(if yes, complete Part B)
fart R:rVehicle Maintenance Activity 1lionitnrilig Requircilluills
t
AxI
PI&WIN13 0M
iorlal
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Wtq: If You ir-dp­o; "I report .sampled '-Valu'e in excess of. - the benchmark value, or outside 4he berichniurk range for PH, you iiiuki ihiplem'e'nf Tier or/rTier 2. r ' es ' ponscs.,�
.1 . See General Pc"I'Mit:1ext.
. TORM
L.) a i ' ej:10-.; i: f: - (first ' event sampled) I
'Toial EventAlrecipitation (inches): �. C,
Dale (.list each additional event sinnipled this reporting period,and rainfall amount)
Mail-Orininaland'onecoli to:
V
Attri", DWQ Central Files
NCDENW DWP
1617 Mail Serviee Center
l0lelg4,1NC 27699-:1617
SVVU-248-[02t07
Page I of 2

STORINIWATrR DISCHARGE OUTFALL (SDO)
MONITOR] NG-REPORT
"3 certify; under penalty:{►f law, that -this docutnent and';III attachments sycre.prepared�under my direction or
supervision in aecord?n_ ee with a system designed to assure that qualified personnel properly gather ind evallnite-the
inforrnation submitted: Mised on my inquiry of lhclicrs{in. or 1)ei-s{ins Who mahabe the.system, or those -persons
direeth t`es ini Bible"i'{ir g;rtl�eri�sg the 4jfor.in-,iti6n thi intnrEi atioii subriiitted ki to t}ie be$t of-my`lmo,.vledgc and belief,
ti-uc; ncc"rirdte,°arid cbniolete. I ai:n aivarb that there alle significant'penalties;for stibniittirig;false informatiorrj inch {ling
the possibility of Fm.cs and,.l.mprisonrnent for'knowv:ing-violations."
(Sigiaafiii-c of l 6*ittee
SWLi-2,48-102107
Pacre 2 oI 2

s,ro R mWATER DISCHA R G E OUrI 'FALL (S.DO)
MONITORING IMPORT
GENERAL VERMITiM NCGI20000 SAMPLES ( COL LECTEP DURING CALL--NDAR YEAR: 41,:)'1
CrittIFICATE'OFCOVE I2A.GE,N0..NC1G12 (Thi.s moti.itoring:report'is; dire at the -Division no Easter . I ]I it ri 30. d,,.i ys, fro tit t It e date
the ficiiity receives the sa tripling results from the III born tory)
FACILITYVAME
COUNTY
PERSON COLLECTING SAMPIA—S,
. i'—
—N 0Z.
C6 MmE I A RdRATORY Lab 4 14-: Lab H PLEASK-SIGN ONTHE REVERSE
Part
,
Wf11,,�r
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RIZMV)
5MM104
-W
11�W Q211"
611
RL"dE wklil
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Note: If you report a sampled valise in excess of (lie benchmark v.i - IuL, you MUM implefiient Tier I or Tier 2 responses. See General Permit text..
Does llii!; facility p&Mnn.Veh icic,M ain te6arice Activities using more than 55 gallons of new motor nipper month? _yes _no
(if yes, cumplete Pat t B)
.11,iiFT13: Lvelllcl&:M,,It'nteiitiive,Acti,,,iiy, Moidtnt-isig Requirements
a,
I PI MI Rico
F VNI
110:-0,01M M."Alb
7—
NVIRIA"KV40
M
Note;%Irmyou reportia smi4led VaI661fi excess Of thel-benchih4, Vilue; or o6t]sidc the bekhm ark' range far pH, you inust,implement Tier,'] or Tier 2'responses.
See Gmi6r, il Perffiit.texf.
'
S TO I Z N- I E V I NT C I TA R A C TE 1 ( IST I C, S
to I til, Event . Pr e ci I? i I a t io If (J n c . h es): (I
Date (Ijst,cnelj additionikl;cvent siinililed this i&epbrfing period, and,rainftill aniount
Total Ey6lt lli'Lcipitati6n'(hicheq):
Mail Originil 3ild one Copy tO:
Attn: DW'-Q Central F i ies
NC,DENRJ.D.WQ
1617 Mail Service Center
Raleigh, NC 27699-1617
SMJ-243-102107
Page 1-42

qw"
STORrOWATRR E)ISC.'IIAI2(:I? OIJ'1'1-AE.,L(SI)O)
MONITORING REPORT
"I certify, under penalty of laiv;:that this document and ;ill attachmenis were prepared under lily direction or
supervision ill accordance ivith n qy tchi designed to a'ssurc ttiat.cfu rlificd:persbnnel pniperly gather attcl.eva[uate:tltc
nforination subniitted. Based of niy inquiry of the; Pierson,or persons who manage;lhe;systetn, or those persons
;directly responsible' foi• gathering -the inVir mation, the infoi•rnation submitted is, to the best cif my lcnowled'ge::and belief,
trt1.e, ;accua;atc, st11 complete: I am aware tIiat;tIicre arc si'gnificanhllenaltics for subiuitting fin Ise informtltion,`i11 L1 11g
the possibility of fines and imprisonment for knoWin violations."
z� a 5
(Si ;nature of Permittee) (Dat
SWU-2,18-102:107
rage 2 of 2

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L.A ] R;4TO&S INC..
•'••'• - Analt;callPracess Gonsulteeians
City of wi.naton-Salerm Date S�trnle CQl.lected 01/27/09
10; N, Mein street Date Samn_e RCCeived 0,1/27/,09
i4inston-Salem, NC G,fkO1 Date Sample Analyzed .0-,/.'27/49
Attn: John. Snain.hour Date of Report 02/.09/O9
Analyses Performed by TP -YJ -iA
Lab Somme Number
07659
Parameter - 5l.pret Reru�ta
�'SS iC053C.1
'C:' ien�s Sample SOUICE
Number
T1mc Colieete:d Ogres)
4"16 mg/i
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Research & Analytiqal
Laboraton'es, Inc.
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CHA IN OF CUS TOD Y RECORD
Waler lVasiewdler
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Research & Analytical
Laboratories, M6.
Analytical / Process Calisullatio_ns
Phone f3361 996-284 1:
CHAIN OF CUSTODY RECORD
Water/Wastewater
Alisc.
Ctimpi uy
Cih� of 1h'itiston-Salcin
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Wi]iA6ii-Salein, NC 27.101
Samplet ly' ie. 1j(Pl6se Print)
Contact
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Ph6iic
747-6965
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Winston-Salem • Forsyth County RECEW>f
N.C. l]a0L of ENR
City/County Utilities DEC 17 Z0
iNater • Sewer • Solid Waste Disposal winstonSatern
Reg ianal Office
Hanes Mill Road Landfill • 325 W. Hanes Mill Road -Winston-Salem, NC 27105 • Tel [phone] • Fax [phone]
December 15, 2008
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Analytical Stormwater Monitoring Results for Hanes Mill Road
Sanitary Landfill (Certificate of Coverage No NCG 120034)
Dear Sirs:
Enclosed, please find the analytical data for all of the parameters required from the Year
1- Period 2 analytical monitoring results. The stormwater general permit covers the
Hanes Mill Road Landfill operated by the City of Winston-Salem/Forsyth County Utility
Commission. Certificate of Coverage became active November 1, 2007.
All samples taken as part of the analytical requirement were taken during a representative
storm event and analyzed by a NC certified lab. It is important to note that some outfalls
did not produce enough runoff to obtain sufficient sample 'aliquot to analyze.
Accordingly, outfalls F, B, A1, and A2 are now at the Tier 2 level response. Outfall 1 is
now in a Tier 1 lever response. The City of Winston-SalenvForsyth County Utilities Solid
Waste Administration is moving forward with the appropriate Tier 1 and Tier 2
responses. Please accept this information on behalf of the City of Winston-Salem/Forsyth
County Utilities Solid Waste Administration. If you need any additional information,
please contact me at [phone].
Sincerely,
z4llee�e�
Edward L. Gibson P.E.
Solid Waste Engineer
CC' Adam Rickett
Keith Huff
ose Pr3

_ ESEA ANAL TiCAI
-1t-:�-INC
- :Analy4icaflPr�ce�sCt�sufta���s
6ay�,5a99f88e
ve
via �p� Ng �4m
City of Winston. -Salem D&te:Sarapls C61lected° 1i/-13/46
101 ON. gain Street Date Sample .Received 1]:/-131.08
Winst6n,-5alein,. N.0 .2710;3. Datg Sande Arialyzed' : T7./a3 f Os
A4tn..- Join Spa amour. Date o Report 11/24%06
AmalySsa'Pe_formed l6y TP -YJ -IA -S3
L&7 sample NUritber
------------------
632o4i1
Parameter Storet # ResL3ts
F (0.04'00 6,.90 std. n: is
TSS {0053G) 330 m5/.1
04-1 & Graase (.00356) 1.2.0 mg/.1
Clfe ts` :Sarnp'»e source
Time Coliected
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5=99�0326 R �'A t�BQRA�OR_E�
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Anelytica[/Process -ConsuftsiionS
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City of Wingtor_'-Salem
Date sample collected
11/13/oe
101 I3_ Nair: St.raet
Pate Sample Received
13/131i1E
P1inacor_-Salem, NC 27lo1
Dat, Sa^,p? e k1al.yzed
Attu: uohn Spainhour
Date of Report
1;_/24/08
A alyses Perfa=i;ed by
TP -XJ -TA -S:3
Lab Saimvia'Number
----------------------
632041
Parameter 5taret
P�l (00400.)
7.02 Sid. Unita
TSS (00530y
113 mg/1
Oil 5 t rease (00556)
5-.2 m9/.1
C1iento sample Scurce
Nun�ex
Time Colleted (Hrsl
--------------------
VEI41CLE MAINTENANCE
M7.— ALL .A2
1305
P. Box 47 3 e 106 Short Street • KernersviEle, North, Caralinu 27284 -. 335-936-a841 . Fax Zs36-S5E-0326
wwH:i�nCala�s.:oiss

. ,
LAbORAT06E5, INC.
Anaiytical(Proczs5 ConsulOtirns
107. N. main sl7reeG
Olir.sUo-i-Salem, HC 3710:1.
Datc. Santp'? Collectet
t}:7 :a .Swrirjl4 : FCecf_`:ived
Data Sarnple _Analy-ed
=tat: of xe)ort
Analyses Performed by
Lab 5amp.l.c Nlumher
632042
l)ardnwA.'er St.or-u
(00340 32.0 rwll.
TSS woS3(1} 242 mt3l 1
=er Cci i ?•t ;a,1.615i >12, 000 col/1.00 rr:it
C1-ior;`s Snrpl,e SOLrCe OUT Ft?L'T. B
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RiESEA1ZCh&ANAlyTiCAf
LABORATORIES, INC
A 13tytic-al Pr-ocec-s Consu�ital;:ons
C_ ,v of ':;..n;;ton - Sal em
101 N'. Main SL rer=:L'
Wiwitcn-Salem, NC 217141.
?%Lw=1: 3nhn Spainhour
UaLe Samplc ColLected
rage Saml5l.e Rece;led
Dale Saivolc Anal,.a-d
care of Renort_
A.>a:yse5 Pei:for-med by
Lab Sample- Number
6 3 2.0 3
Pa:-ammtt:c- ScarC.•L f P.eriu.1.z:
COD - HIGH i'00220) <5.00 m9/I
F'ec Coli<-m- 131.6;1G} 1,200 col/100 ml
Clicrin; Sample sour":C 0TUTFA.Lli
N? tmbe r
Time Col 1 ected 0: n3 % 1315
R 0. Bux 472 -1 DF6 Shout. t-;nt -Krvner ; ride, Nort`i Car ;lina 27224 756-996-2t341 Pnx 336.295-0325
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ANALY
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CiL-y of WjnsZcrn-Salem bate Sample Col-lected - A.1/1 C,
101 V PAN We= Date Sample Received 11,1 i 3 /0?
tri issi_nr5aiett;, �i'_ 2'110i Date Samp:"e Analyzed 11/.13/ 08
At= John Spainhour Date of Report 11/24/08
r'e aic ,sf_s Performed by K? -'ij -SJ
Lab Sample. FluiiibCr
---------------------
GZ203a
iOrameter Sl:D2eL' if RES4l1i..5
COO HIGH ( 0 c a1 41.0 :ng/i
TSL (0055) 54.7 ;ng/l
F'ec Co'I.i.-MF i3tE167 n Boo cnl; l.i0 ml
Clients Sample Somme OU1'Rh14 1
f, umber
Time ui..?er.tctl 0-rsi 3�5C
Pa Ex 473 • 'i TSB Shom ^creec • Kernersvi'le, L'arti. Cm-ofina 27264 • 336-996.2841 • Fax 336=995-G328

STORMWATE ' R DISCI IARG P OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGJ20000
CERTJ FICA'l�EOFCOVERACr�.N-O.NCGI2.-_(,--b3!�:
FACILITY NM AE HAgg-5 gr; if R..,A
'PERSON COILECTING SAMPLES
CERTIFICD LABO RA,ro Ry .1 W,
Lab 9
Part A. Specific Monitoring Requirements
SAMPLES COLLECTFI) DURING CALENDAR YEAR: -Z!29a
(This monitoring report is due at the Divisio(t no later than 30 days from (Ile date
the facility receives thesamplingresults A f�'nvtfie laboratory,)
Ir.
COUNTY.
PHONE N 7Z-7
PLEASE SIGN ON TILE REVERSE 4
tA` T
VC �L
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X�Igeu L MAW
d" PW,
-Tot, -e f
iiil6d'S
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Nole:--1 f yoti report'a sampled vAlkie in excess ofific 1)601imfirk Value, you must imprement'Fier l'orTier 2 responses. See Grneraf Permit text,
Do:!s this facility perform Vehicle Makitenance Activities using snore than 55 gallons of n2w motor oil 1per inon 0 il� _yes _no
(if yes, completeTart B)
Part 11: Vehicle Maintenance Activity'Monitor.in,-'Itcgtiiremenis
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N9te .. : if you r . e - pu . rt .. a . sqaipIL6d vahie in ex6ess.,01 t.he.:bendijuark Vakie, 6;-'6wside the benchmark range for ])14- you must iinplement'Tier I or 'Fier 2 responses.
See GerleralTeriflit text.
-STORM EVENT CHARACTERISTICS:, .
.)ate- 0 - V5 (rii-st cvent sampled.) --
Total Evelat'Precipitatioll (inches): a. 55
Date - (list Cadvli ailditioal event sampled this rei3birting period; and rainfall amount)
Total Vvcnt Precipitatioh (inches).
Mail Original and one copy to:
Att6-. DWQ Ceritfal Files
WDENIV DWQ
1617 IMM Servic'e Center
Raleigh, NC 27699-1617
SWU-248-102107
Page 1 Of

ti`ORM13'r T-F'A It 1)1SCHARGE 0LIT L1, (51)O)
MONrrojmN,c Rp.mwi,
"1 certify, under perialtyof law, that this doctiment and all attachments were prepared under my direction oi-
supervision in accordancic with a system designed t€ .wsure that qualified personnel praperly gather and evaluate the
n informatiosubmitted. B,4,; d oil my inquiry of the. person of pci-Sons who manage the system, or those per -soils
directly fts. p risible ]'or- gathering the intormahon, (lie iiiforinatioii siihirlifted is, to the bCS1'6f my knowledge acid belief,
true; accurate, and coi»plete: l am aware that there are signifi6ant penalties for- submitting false inforination, including
the possibility of fines -and imprisonment for knowing!viols-tions."
{Si.gua'turc°.f�Pcr•mittee) � (l7af )
SWU-245-102 10?
Pare ? nf:_

STO Ri1IWA'I'E.R DISC HARC'F' 0U'I'I AL.L (SDO
MONITORING REPORT
GENERAL PFRMiT NO, NCC.120000 SANIPEFS CIO L LECTF,1) DURING CALI?N1) 1IZ YEAR: ZM56
CERTIFICATE O1' COVERAGE NO. [NCGI7 (This rnosiitorilig report is dlie at the DivisiUn(ib laser than 30'days rr om the (talc
! f the.riwility receives tltc it.Ill ilin�,'esults frnlll the -laboratory.)
FACILITY Y N ,NIE _Mt N_ 1�1� � _ . 1{ COUi` TY-- -= * - --�
PGltbON C{)LLLCi ING�S 1iti1I U-S � GT� ,'� P1)01'� �C1. (�j IL2 Ei4.!'.t —
CEIi Il' b LACiC1R.1"EOR9' l '� �` i` �:;1) # 3 4�
L.ih it PLEXSE SIGN: ONTIIL; RLYEF2SE
Part A: Sj)ecif,c Moniiori,lg•Requirements
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sole. IE'°yuii repni�t a sati,jiecJ`valia� iri r:xces`soFthe 4��iiiaiii,ark'viillie, you i�iilst:imlilei,ieiirTier t vi-'1'iei 2 i-csponscs`. See Cierieral Tcrniit text.
Does thisjt.icility perf(]nn Vehicla T&Iintel MCC Activities using.niure diati 55 gallons of new motor oil per moiitli? _.yes _Ito
(if yes, corripEete Part B)
Port,13: �'ehil lc il'I.iintena,iee A"ciivity.,1'Iclnitnrin !Ze( nirements
t� .' �Ontrllfi '
u� ' -. � ,g.;,6 �
_ +-{still �?-°'•t'.
�,-.�S;sF �I)`:f tt..._.._"�1��`r �t$
r'�a. �;�:��i,• s�. �.;u�.}i�t�+�'.�e�+�-
i��� .rnl )IC f14l�Cti:ft(
tx':�i$sY'a-i"=9L.1-.
�!r• ,w" ;�7Gt '=t"-` {�
� �.._� �t�{l.. sa,.. ill
7' Oil E`5,;r
1,
,�p��^r:rii,�g��gt�1153tJ`kil'�*'`#.�s�
fi+"Fki•'F 47'=.�F._. _
-.l:
'1�•' Ni
n'
(:� 5l�''�j_,R�t�d-tOr��i'� €..�i'3�'
r �r _
'ti-33 5 ��-..�'.y!I'�+ `s ci
r ��'pr e �<ts.=a,:,rr�:s��''�u:
s dS-ad-�� .b., .� ..�.i'ti.
- `l(ltOr !_•)itF'tj5� "[ `i�
', %'::4`- „�'•i: ``r _i;•`rrs�--,
AybL-t
„a�,i» �r"5i".';.`>i".C..t;,n(17,r.(rliii,tS,.,--
t yp; i
r ye"a 111ti IMg1111n4()t�2.
r
G
Ytl,1e 11nli1ilt'!',1Y,�.�3"01-�'a+'f';�:Yt'S!8
Yl`
?:�V k`)`.+t �P
b..,..�.`•�Yi[47VC_ CYO
1 kiC SO�.�,F��yy'6k 8( ii
Y' Q
_..... .—_�
b ite. IC dli.repori a-saii ple'd'valgc iri (hcess;ofilte beh' hivarl- wi ue, ur ci i si(le the.belicliii,drk ninge'for pl i .you Iiii st implerkm Tier I oi� Tier2'resiiouses.
Se6�G. crsl Per[nit lext.
ST-bi2Ni EVENT CHARACTERISTICS:
Uitc �.�- I (tiist event Sampled)
Total Event Prc. ipi(atiun (inches):
Date (list each additional event sampled this -reporting period, and rninfall amount)
Total Event Pi'edpitatioii (inches);
Wit Qriginnl fl1llLane, copy to:
Attn: DWQ.Central Files
NCDF-N1v'l:)WQ
1'61' Mail Service Center.
Raleigh, NC. 27699-1617
SIVU 245-102107
. Page I of 2

STOW-MVA'1 ER DIS [ARGL: OLITFALL (SDO)
MONITORING REPORT
"I ccrlij, under penalty of Iaw, that this documwd and alf allachmenN were pimpurcd under my direction or
supervision•in ac'cordanecWith a sy'st'cnr desighC to rrssurc that cjriafitied petwonnel praperlyg,ttlrcr and cvaluatc the
information submittO. Bascd'orr nr� inquiry ref the person or• pmoons %vha niatinge the Systerir, or those persons
dhveHy r4sp£?r1ALde fqe gathcHng the inbrniation, the information Submitted is, to the }lest of my knowledge and belief,
true; accurate, and cc► nMete. tali aware that there. aresignif eanbpenalties for suhnrilting false information; inefuding
the possihUlty, of fines Ad inrpAnnment for krrnwhig violations."
4,
(Signature of pvrniittee) (Date
S WU-2d$-102107
foge 2 M

STORMWr\`l FR DISCI -LARGE OUTrAI. L (SI)O)
MONITORING REPORT
G,ENCRAL. PERMITIN0. N CG 120DO0 SAMPLES coi E ti.c'GD DURING CALrW)AR YEAR: obi
C E, RT I F I CA T C- OF C0V1a1RAG E NO. riNG'G.12 UC�� CrIli5 n101tit0ri11g t'ePOrt is dtre art tl,c Division no latter than 30 days from the dale
dic rneility rcc6ves the snfilpli:i.r results from'the 1,,)horatory.)
F,�C1LITY NAI11 J-f-Aq-qF$MA JL4 CL COUNTY
l'1 RC(7iV'f:C1[ 1 1,C'L-1N{, 5A�11111?ti' r_ PHONE, NO- IZ7t
CERTCf 11 l) L t301ZA L olzY 995 �� z � , sh tf _d�- ---_-
Lah fi T'L°L?ASE SIGN ON THE: REVERSE 4
Prir-t A, Specific Mcr.iforing Requirements
*,All o��3!6� I:�Iy3 r`,`.'t €;.; .s:,rrn:re• ;,..i.�, � t'' .s..q-�.� nry....,: i a �„r... ,rip
1:Id,�1Cll ltt tt lt. �',,y g �i"s s 1r a "kf+- r3talitr�tl�w7 yet �, "�' t> 11f)�11iiElflIllFS� a'aa K•�.
"�'
�ur1 i`�r^+�
f:3 }tip
N6m: If.yml'i-dPo' rt ll sampled value in'excess of thc-beiiclwnrk Sallie, yoti [nest irriplemciit f ier I or'fier 2 responses. See General Permit text.
roes thi:; facihiy perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil Per month? _yes _no
(if yes, comp] ele l ait l3)
PnrtB: Velaiclt;.tM.11111fewinceAi:tivit5' lG'loitimrint' Regnirw)IC11 }
_ � � ..�,.�.,..., ., r.—�--..—...-- � -r� � r r :t� i 'a' e " � ir,: ii '16-� i r� �f"v �r ! k "'�'v �"� � � � t•
�sr,i4 `{?1ltf ill . �`k ����,�����{ I).tt�, � „� � � „�'tl��aG, �".'a.,..�a.� �r}��r��a��l)a:S,[i�,.°'r� r:�:::•'��).:�<�:1�(i k �:�! ��s rs �F� "���"",n�����''��„�
c,;.��k� ��p4c ;.•� a tilt€i; aeitc1dF:Sellltl' ' " , s Ik�1 ,,� , �'€ \` v£cYialn3'C')tl
}II(]llllt
�-...s.1<al°,c �
fsenglilili l „' �""ii i ?�i11 ;. x 'r .t+�fl'J.}fl
Note`: if yo€17N.polt 9 s`ampleii:6slile in'exccss of the benchrnai•.'l viil€ic, or otits'Icle the bcaditnark Ialige for1)1-1, you must implcmeilt'Ticr I nrTier 2 respoasas.
See Gencril Permit text.
S"1'017:i-C C�.VT�, 1'!' CI-IAltrtf;,"l'Isktl�'I'1C'S:
D:ltc 1-1.5 (first event dimpled)
Tot.A Event Precipitafit�ri (fticFteS):
D:ite (list eac.li adIclitiwwl event sampled this reporting period, -and rainfal1•arrnoul}t)
Total Event Preciliitatiori (illches):
Mail Original.and one Copy to:
Attic: DWQ'Central.l ilW:s
NICE)EM"'Y 111LVQ:
1617 ivlil Service Center Y
Ral6glr. MC . 7691}-1611
S W U-'248-102107
Page I of 2

STORMWATER DISCHARGE ()1.1'ITFAI.I, (SDO)
MONITORING REPORT
"I certify, tinder penalty of late, that this document and all attachments were prepared under niy direction: or
supervision in accordance Wilk system designed-to.assure that qualified personnel properly gather anti evaluate the
informat'ion,submitted; Based on my inquiry> of the person or,persi►ns wlio. manabe the systenr, or those persons
direc(ly responsible for gathering the information, the information submitted is, to the best of,m), knowledge and belief,
true,- accurate, and complete. I ain Aware tliat there.are.signiticarit lienalties for submitting: false information, including
the possilAity of fines and imprisonment for kuowing'vi(AAotns."
(:signature of lscrmittce) (IDatc
S %VU-248-102107
1',ige 2 of 2

STORK] ATLfZ DISCHARCL OlFi'FALL, (SDO)
l]ONl"1 ORING Rfi',POW'1'
C E, N E RN I_ E'I RtNII'1NQ. C:i20000 ;>r}iv'1YL�S COI;,I,I:CI'rD I)URINC CAl l?N0 1R }'L:1R: ZLI�i�
C:It'.RTIl1IC'A'I E EW COVERAGE I O. NCG12 (This monitoring repor( is thre, at the Division no laler Ilian 30 days from the date
the facility receivesihesamplitii resrilts,from the Inhor-ntory,)
Ir:1C1I E 1 }''t� Ai}l l• �� /_vit,' 1( _,__r COUNTY
SANIPLE-S _�p ! {�K'_ _ YH0NE NO.
CERTIFIED LABORATORY3t(-
I'ab 4 PLEASE SIGN ON"flit m1wr1 51 �
!'art A: Speeilic Monitoring Requirements
t�' �;KpT ;�... ,,..
tll3e,L;ailc.�iccl,:,1t
,-. -._. .r-+,--,. Ewa._. ,.,�-„Y4,
f�j1�ir�ic,rtl�J�ycg�ntl�rtntln(I;�
r: ', , nt..: .w� ._�-Otl: �.:e ��6i.u.
�;��r�:�- a7f.tE_�I�f�nlli"prm�`�
'p,'�:'�^
:s.,c ;-�+e ;. �.-.• ,rt ��..a ti:.�,{.u:
��? iDt.€Ir<tlsl�elr
�..� � � .,;�:
_�1,i -
1Sa•tF(.l tl Sl: ,g
7 y
ea. .iSef.i Ve f;;,;i- NY ir..�
' � < -
tpI r e yy
G'���,. [i1+�.'".r`.3Y— �-�.f h i.. E!4`.i
r � r�
1 _ w v A
M�'ritAY ✓14 ... ..... 4
a t• .y�r T',-''_'
g' '' j/ ,,y L L
�� ... d: �t E�+A+"�I�1 tit1,R� °�!5'�
- --
l�ar�aJl.`t��r
it-t3-boa$
t� �r
iu
N{itu: if yotr repon a sampled value. in excess of the biMI luriark value, you must implement Tier l or Tier 2,r6pbrises. Seii General Pemiit text.
bees this faeiliry.pert"orrn Vehicle Mal itenintce'Activlties rrsing Fnorc than 55 gallons of new motor oil per inonth? yes _nti
(i Fyes, complete'Yrrt B)
!'art fi; Vclricle.iL7ttinlcn Ence ACHN1 ,MnnEtur:it a Rutuiremeuts
W` �`�'p,}��..;+
'wt�,l}"';S?a;;R23E1114,gif)IICi;E�Cils
,�iF r�U �"�fYK'.{j v.�rii �
` v-- �C'r
�t
ij s- ^i- 4 - :�st'k�"3t��
;3:.():l]Illl�rrt'.ile[,j,=
!L",�y '...: •3;�
<_
?1 'i q� �•1
Il7t:llrSj)C'11(iCtl'i9�.11ltlty�'y?;4f.;6
:,waa:r• �' ' w;i 4J'. 1"
3.f `� .. e .4..v,.. �
1TtIF3P-,�rt�'10?�k1L151�:1~Lttl7rE�3l(�i 17C:
F" ..L�. §>��a°'. .;�."�z�i+x��3if1(lLi�a�ltFg'�
�E b `,.:...
.P
�:j� #-, �T'•' Z}: li
'�'��{It, {I���.:�,�7,�7'
...'r 3t. ,
��ii�»��311,�7jrit:i'�m'w},;I-}'i•f:EEFlnilfiril�ElElE15�{i
W � i—'�i'..,
->},�;�nYc,F I��f'�'r1IFEltli[tE(ytl{Etl()y'�
� t �; u ._. .., � t 3' I � W�.•.
Nixie: If 6u rup-jrt-a sismpk,,dvalue in excuss ofthe heiichmiirk v;a!ue, or o.tilmdc the'llen6limark range for pH,'you`aniist implement Tier I or Tier7. responses.
See General Pernlii ten
STORM EVENT C HARACT1,RISTICS;
Date--�_Ij (firs( ev4:nt s:lrllples1)
Total Event Precipi(atiun (inches): 0
Date (li,y( ks-.wh widitional event sampled this reporting period, and raihlirll alt,oun()
Total Event Precipitafircn (inelles): _
,Yia'll' (.)I ill; and true copy to:
Attn: DWO Cential lilts
TICI)F,1gR)1).VQ
1617 Mnil Service Center
Raleigh, NC 27699-1617
S'4�,rLJ-248-102107
t'aye

r
STORMWATPR DISC HARC E OUTFALL (SDO)
MONITORING RETORT
"1 certify, under Imntilty of Inw, that this domn"ort and all allndipkpts were prepared under [Tly'dil'ectl{)rr'Qr'
supervision in aceordanec ivith a system desigrred to assure that qualified personnel propcvly gather aiid :valuate the
information sirhnritte& based an my ingdh y of the person or- persons whu cnAnage the sysion , or those persons
directly responsible for g,itliciaiil; Oic infoematioir, the informMkin sijbmitted is, the hest of my ltnowledg,c aigd belief,
true, accurate, and cr3inl lu, I .ins awniv (hat there are sil;AReairt ponalths far siibnAtting false ihilormation, including
the passibility ref tirres :md imprisomnerit for khom ing vidatiow"
(Signature ot'l'ermittec) (Date)
SWUM&icr?io?
Page 2 of 2

1 - RECEIVED
Winston-Salem • Forsyth County N.C.N.Deeot. of FNR
X 11Y/C®unty Utilities S W ^Bton•Sal 0
Water - Sewer • Solid Waste Disposal Regional off)ce
Hanes Mill Road Landfill • 325 W. Hanes Mill Road - Winston-Salem, NC 27105 - Tel [phone] - Fax [phone]
September 16, 2008
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Analytical Stormwater Monitoring Results for Hanes Mill Road
Sanitary Landfill (Certificate of Coverage No NCG 120034)
Dear Sirs:
Enclosed, please find the analytical data for parameters that exceeded cutoff
concentrations from the previous analytical monitoring results. The stormwater general
permit covers the Hanes Mill Road Landfill operated by the City of Winston-
Salem/Forsyth County Utility Commission. Certificate of Coverage becarne active
November 1, 2007.
All samples taken as part of the analytical requirement were taken during a representative
storm event and analyzed by a NC certified lab. Please note that some outfalls did not
produce enough runoff to obtain sufficient sample aliquot to analyze. Please accept this
information on behalf of the City -County Utilities Solid Waste Administration. If you
need any additional information, please contact me at [phone].
Sincerely,
Edward L. Gibson P.E.
Solid Waste Engineer
cc: Jan McHargue
Kee' u
se Pfuitt

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO, NCG120000 SAMPLES COLLECTED DURING CALENDAR YEAR: 2008
CERTIFICATE OF COVERAGE NO. NCG12 D0�3 y _ (This monitoring report is due at the Division no later than 30 days from the date
the facility receives the samplin results from the laboratory.)
FACILITY NAME a+u Ii%yil 14•d 1-c- 1Q+f t COUNTS' ��
PERSON COLLECTING SAMPLES PHONE NO. 3( 3(o) 727- SYI15
CERTIFIED LABORATORY Lab # 3`J
Lab # PLEASE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
FAA akl
.�.r�4, Y-"l'C.._
r� 4r ;` Dater o
i} l.- 'K•C fM1
.sue r 003.40.' t � ''
IA `7n'`&,� iTl �. !1 .,y' F` i
.. ' z ,
7 *"' i}' F i•hi=.r e.�.
°00530
..
t'
FEEClicmicaf)OxygenjDemand
"a, `"
'„ �9
'*4
h A sue; ;F,ectil'Coitiorm , `_y{
'i.;y'
�^� a.n, rri. .i•
E } TotalySuspendedtSolids;r-� �.
{.i
�i67 t, l
�;Sarrtple*Collected a
rr•_"..r*s
dd1Yr_�..��
"/L
�i!L4t'::4r..
r+_"-9 �r .. 7,- I ,, :- •:
its€ /.Lai
a,,.�.�c��tm t��z�
.k��f#a ersl00 m1_ st.�.. x
sties ant ��,rl
13cnctirii�rk ;3
:�^����",
? } v s+t
120?r����#_�
"" k r µ .z «
ll `�.'�•TT`l"040,co16hies:� r,�sa�
ix�'= Si`S`"F"� IDD� ,
�zs ... _, _� �; �.,,;'€< Wq,,V' r
OAr,tl "t-
7/31
6.0.,, /r.
S yoo re/ /*0—L
8.8--T/L_
0-+C-1% w��,
7 3i 20o8
or. /L
$ 000 ear/wo.,L
S10 ...-2/L
SoOo r/
283
Note: If you report a sampled value in excess of the benchmark value, you must implement "bier I or Tier 2 responses. See General Permit text.
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ye
s _no
(if yes, complete Part 13)
Part B: Vehicle Maintenance Activity onitoring Requirements
�=
Collected°; `;
,�6' -.c ti
�
ODSSti �.� .��
r IX il#and#Grease;rTotaif[Suslicnd'ed4Solids
R•
er
� <3 � L�:D05301 ��,�:,�
i
i t s Yr":
`�';1'�c�•'00400r �r �'�
' `.;j�iH
aai a Y
.� :�� _<� '
NewMotorQillUsa'gc
?Sample
�L i t✓{
�y ih 'i.L�
i*i" SSRYw ..ry9 C
"-'�J
�:�,andardiunitsi,�,.;Avera
,. �C(y �u 1N °i":i""Q"l • 7-1tJ�.?.i.
'l.ml�
sy, r. "�• K
`w •4�;E1i'x'..C:i�:R^^{GZ''''. !'.16� M`�•w'•
11
- fo
! i%
r,+:r,.,,
#.m
+3•,=h= 1 y;'� r 3 f.
!
a annuali allmo.ls
Beiclina'rk�
f a. �
' ,�i� Fl
�u`L.M'tXt�� ♦�. .4:A., ,K1-'h
T,; �,r4n'a30 >� 7i
e�_ nT.Y7�S �-_I..S�J
�tj,,.te,.�.'C,Jt
Al
7 3 yoo
C S, o —3/4
t7 d —s1 c
>
Az
/31 zo-il
re.y IL
Izf I-5/L
s ss
? 5-5'•/»,o�
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date Vj/ (first event sampled) Mail Original and one copy to:
Total Event Precipitation (inches): /•S Attn: DWQ Central Files
NCDENR/ DWQ
1617 Mail Service Center
Date (list each additional event sampled this reporting period, and rainfall amount) Raleigh, NC 27699-1617
Total Event Precipitation (incites):
SWU-248-102107
Page 1 of 2

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
"[ certify, wider penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons Who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
a�
(Signature of Pea mittcc) (Date)
S W U-248-102107
Page 2 of 2

RqsEARch & ANA10CAt
LAboRAToRiES, INC .
AnelyticaVProcess Consultations
City of Winston-Salem
Date
Sample Collected
07/31/08
101 N. Main Street
Date
Sample Received
07/31/08
Winston-Salem, NC 27101
Date
Sample Analyzed
07/31/08
Attn: John Spainhour
Date
of Report
08/05/08
Analyses Performed by
TJ -XJ -IA -SJ
Lab Sample Number
--------------------
623312
e-----------a--a----ra-a------r-ca---r--
Parameter Stoeet # Results
COD -HIGH
(00340)
6.00 mg/1 GV.
TSS
(00530)
8.8 mg/l
FCC Coli-MF
(31616)
cal/100 mI
(:!7f
-dl�I
Clients Sample Source OUTFALL F
Number
Time Collected Mrs) 1546
P.O. Box 473 - 106 Short Street* Kernersville. North Carolina 272B4 • 336-995-2841 • Fax 336-9SB-0326
www.randalabs.com

RESEARck & ANA[yTiCA[
UbORATORIES� INC.
AnelyticaE/Process Consultations
b At+1+uY��i
NC034 Ys "
t •- �iy?ECtpQ;; r
�i •......•�''r��
City of Winston-Salem
Date
Sample Collected
: 07/31/08
101 N. Main Street
Date
Sample Received
: 07/31/08
Winston-Salem, NC 27101
Date
Sample Analyzed
07/31/06
Attn: John Spainhour
Date
of Report
06/05/08
Analyses Performed by
TJ -YJ -IA -SJ
Lab Sample Number
--------------------
623309
........... p p i 6 6 P p ...... a ............ =.............. p p p p p p p p p i .......
Parameter Stoeet # Results
PH (00400) 5.90 Std. Unite �r
TSS (00530) 90.0 mg/1 04
Oil & Grease (00556) c5.0 mg/1 Oft
l:ec Coli-MF (31616) 9,200 col/100 ml
--------------------
Clients Sample Source VEHICLE MAINTENANCE
Number OUTFALL Al
Time Collected (Hre) 1454
P.O. Box 473 • 106 Short Street - Kernersvitle, North Carolina 27284 • 336-996.2841 • Fax [phone]
www.randalabs.com

RESEARC -i & ANALyTfCAI ••• �►�j ,ie
bAb0"TORiES, INC,: C` i'
t o•
Anat/UcaWrocess Consuttations s
City of Winston-Salem Date Sample Collected : 07/31/08
101 N. Main Street Date Sample Received : 07/31/08
Winston-Salem, NC 27101 Date Sample Analyzed : 07/31/08
Attn: John spainhour Date of Report : 08/05/08
Analyses Performed by : TJ -YJ -IA -SJ
Lab Sample 'Number
--------------------
623310
----r-------11-----
I------- Y----------------------
parameter Storet # ReSUItB
PH (00400) 5.83 5td. L7nit8
TSS (00530)
Oil & Grease (00556) 6.4 mg/1 Ok
Fec Coli-MF (31616)
Clients Sample Source
Number
Time Collected (firs)
11,400 Col/100 ml
VEHICLE MAINTENANCE
i} OTFALL A2
E 3511
P.O. Box 473 - 106 Short Street - Kernersville, North Carolina 27284 - 336-SSS-2841 -Fax [phone]
www.randetabs.com

+`���s��saiu*rttti
RESEARCh & ANA1yTECAI .-' rh
�+ �?�� 4 C/�' •• err.
LAbORATORiES, INC. p� 0.%s
°o NC #34 z= ' M
Analytical/Process Consultations
r�tttV'gED� t�i�►+r
City of Winston-Salem Date Sample Collected : 07/31/08
101 N. Main Street Date Sample Received 07/31/08
Winston-Salem, NC 27101 Date Sample. Analyzed 07/31/08
Attn: John Spainhour Date of Report 08/05/08
Analyses Performed by TJ -YJ -IA -SJ
Lab Sample Number
--------------------
623311
wwow:awwaaawrwww-, wwwaea wmwsww---wwwwww----- wwwwww------r-------w�es:=w ..... .
°ax'ameter Stveet # Results
COD -HIGH (00340) 39.0 mg/1 ok
TSS (00530) 510 mg/1
Fec Coli-MF (31616) 8.000 col/100 ml
--------------------
Clients Sample Source OUTFALL S
Number
Time Collected (Hrs) 1534
P.O. Box 473 • 106 Short Street • Kernersville. North Carolina 27284 • 335-995-2841 - Fax [phone]
www.randalabs.com

J
RESEARch & ANA[}/TiCAL
LABORATORIES, INC.
Analytical/Process Consultations
City of Winston-Salem
101 N. Main Street
Winston-Salem, NC 27101
Attn: John Spainhour
Date Sample Collected
Date Sample Received
Date Sample Analyzed
Date of Report
Analyses Performed by
Lab Sample Number
--------------------
`0""%*143111114rr,,
OAPO
ti `'Z' 'V7A•��
a r
07/31/08
07/31/08
07/31/08
08/05/06
TJ -YJ -IA -SJ
623313
C:"Z_e�'er------�OCi�>'t_'#-----------YC-CZ Z4Yt'tos.. .wA.Y---------Giis�P�Gzfl-------
Parameter 5toret # Results
COD -HIGH (00340) 11.0 mg/1
TSS (00530) 283 mg/1
Fec Coll-MF (.31616) 5,000 col/100 ml
--------------------
Clients Sample Source COU];TFA�:LL2
:::
Number
Time Collected (Hrs) 1519
P0. Box A73. 106 Short Street • Kernersvilla, (North Carolina 27284 • 336-996-2341 • Fax [phone]
www.randelabs.com

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GENERAL NOTES 0 ES
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1. TOPOGRAPHIC INFORMATION FOR THE
PIGGYBACK LANDFILL AREA IS SUPPLIED BY
1
RESIo€N
IAL DROP-OFF
�A
BRADY SURVEYING INC- FROM AERIAL
PHOTOGRAPHY DATED OCTOBER 24, 2005.
GENERAL LEGEND 2. TOPOGRAPHIC INFORMATION FOR THE BORROW
AND CELLS 1,2, AND 3 AREA IS SUPPLIED BY
BRADY SURVEYING INC. FROM AERIAL
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PL PROPERTY LINE PHOTOGRAPHY DATED JANUARY 7, 2006.
— - _ OVERHEAD POWER LINE
3_ EXISTING TOPO INFORMATION FOR AREAS
o — o ELECTRIC UTILITY LINE OUTSIDE OF THE TWO MENTIONED ABOVE ARE
D
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_ m ,.�_ .,
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DUKE POWER EASEMENT SUPPLIED BY BRADY SURVEYING INC.FROM
AERIAL TOPOGRAPHY DATED MARCH 4, 1999.
_ _ — — — ------ ---WATER EASEMENT
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PERMANENT R.O.W. 4. PLANIMETRIC INFORMATION iS TAKEN FROM
AERIAL PHOTOGRAPHY PERFORMED BY
— — 100 YEAR FLOOD PLAIN BENATEC ASSOCIATES FOR THE CITY OF
WINSTON SALEM DATED FEBRUARY 1990.
F.
�Q
BUILDINGS
5. PROPERTY BOUNDARY INFORMATION WEST OF
EXISTING ROADS NORFOLK
SOUTHERN RAILROAD PROVIDED
FROM A BOUNDARY SURVEY PERFORMED BY
TREES THOMAS A. RICCIO AND ASSOCIATES, R-L.S.
DATED AUGUST- SEPTEMBER 1991,
RAILROAD
FENCE 6. PROPERTY BOUNDARY INFORMATION EAST OF
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--- -- -- --- CONSTRUCTION BASELINE SURVEYING INC., DATED NOVEME3ER 18, 1994
RZ-66
PEIZOMETE , NOT SHOWN 7.
R FLOODPLAIN INFORMATION OBTAINED FROM
FLOOD INSURANCE RATE MAP FOR FORSYTH
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--------------------------- COUNTY, NORTH CAROLINA PANELS 133 AND
FUTURE EXPANSION/BORROW
141 DATED OCTOBER 20 1998.
LANDFILL CLOSURE CELL
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CONSTRUCTION 8. THE CONTRACTOR SHALL FIELD VERIFY ALL
EXISTING SITE CONDITIONS PRIOR
_
TO
COMMENCING WORK.
0 CONDITIONS AT THE SfTE
MAY VARY FROM THOSE SHOWN, AND IT IS
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THE RESPONSIBILITY OF THE CONTRACTOR TO
INCORPORATE THE ACTUAL EXISTING
CONDITIONS IN THE EXECUTION OF THE WORK.
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9. SOLE ACCESS TO THE SITE IS FROM THE
SE/LANDFILL ENTRANCE FROM
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10. ACTOR MAY WORK DURING THE
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FOLLOWING HOURS UN T
LESS OTHERWISE
SPECIFIED:
MON-SAT. 6.30AM-8PM
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� 11 SUBMIT A LIST OFF ALL
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E3IGINEEWS,,. _ Lary„
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EMPLOYEES, VISITORS AND DELIVERIES
EXPECTED TO ARRIVE ON SITE THE FOLLOWING
DAY. THE LIST SHALL BE SUBMITTED TO THE
SCALEHOUSE ATTENDANT NO LATER THAN 4:30
PM EACH DAY.
c
12. CONTRACTOR AND ENGINEER'S FIELD OFFICE
IS IN A LOCATION THAT WILL
30' PERMANENT R.Q.W.
I
REQUIRE PIPING
OF A SMALL DRAINAGE FEATURE.
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ZIGLAR ROAD 60' ROW
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FU
J N RERR
W EA
CELL 3
128' DUKE POWER EASEMENT
1
HDR Engineering, Inc.
c f the Carolinas
128 S Tryon Street, Suite 14001 Charlotte, NC 28202
PROJECT MANAGER
M.D. PLUMMER, P.E.
ENGINEER
P. A. WESTMORELAND, P.E.
DRAWN BY
J. GAUL
L. PATTERSON
0
04/2006
ISSUED FOR CONSTRUCTION
CHECKED BY
MDP
ISSUE
DATE
DESCRIPTION
PROJECT NUMBER
00162-35279-018
HANES MILL ROAD LANDFILL
PIGGYBACK LANDFILL CLOSURE
AND
CELL 2 CONSTRUCTION
WINSTON-SALEM
NORTH CAROLINA
OVERALL SITE PLAN
WKS sIPM►WOrTlet Po ANT s
0 1 " 2" FILENAME OOG-02.dwg
SCALE 1"=300'
SHEET
OOG-02